Mid-Missouri ENT and Facial Plastic Surgery Specialists Inc.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MID-MISSOURI ENT AND FACIAL PLASTIC SURGERY SPECIALISTS INC.

Practice address

54 Hospital Dr
Suite 102
Osage Beach, MO 65065

Phone

(573) 348-0826

Fax

(573) 348-2328

NPI assigned

Aug 15, 2007

Organization subpart

Yes

Parent organization

MID MO EAR NOSE THROAT & FACIAL PLASTIC SURGERY INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Douglas J Howland, DO

Title

Physician

Phone

(573) 635-7901

Specialties & licenses 1

Addresses

Part of

Mid-Missouri ENT and Facial Plastic Surgery Specialsts Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Joseph Simmons, MD

  • Otolaryngology Physician
  • Jefferson City, MO
  • NPI 1366554586
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1972795839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 WEST TRUMAN BLVD",
            "address_2": "SUITE 200",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "65109",
            "telephone_number": "573-635-7901",
            "fax_number": "573-635-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR",
            "address_2": "SUITE 102",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "65065",
            "telephone_number": "573-348-0826",
            "fax_number": "573-348-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MISSOURI ENT AND FACIAL PLASTIC SURGERY SPECIALISTS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID MO EAR NOSE THROAT & FACIAL PLASTIC SURGERY INC",
        "enumeration_date": "2007-08-15",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "HOWLAND",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "573-635-7901",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Joseph Meglan, MPT
• Mental Wellness, LLC
• Suzanne Marie Mericle, LCSW
• Emily Diane Mertensmeyer, MS, RD, LD
• Jan Elizabeth Michaelree, MS, CCC/SLP-L
• April Lynn Miller, APRN-FNP
• Haven Miner, PTA
• Missouri CVS Pharmacy LLC
• Melissa Nicole Morgan, LPTA
• Danielle Morrow, FNP-C

• Otolaryngology Physician in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Otolaryngology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.