Lordex Spine Center of Columbia P.C.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

R8620 Issued in MO

Legal business name

LORDEX SPINE CENTER OF COLUMBIA P.C.

Practice address

3400 Buttonwood Dr
Ste C
Columbia, MO 65201-3720

Phone

(573) 443-0551

Fax

(573) 442-2959

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brooks M Travis, D.C.NPI 1740386960

Title

Owner

Phone

(573) 443-0551

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 2

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

• Sudhir Batchu, MD

  • Neurology Physician
  • Columbia, MO
  • NPI 1871698662
  Medicare reassignment NPD
• Brooks M Travis, D.C.

  • Chiropractor
  • Columbia, MO
  • NPI 1740386960
  NPD Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1992884217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BUTTONWOOD DR",
            "address_2": "STE C",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013720",
            "telephone_number": "573-443-0551",
            "fax_number": "573-442-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BUTTONWOOD DR",
            "address_2": "STE C",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013720",
            "telephone_number": "573-443-0551",
            "fax_number": "573-442-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORDEX SPINE CENTER OF COLUMBIA P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "BROOKS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-443-0551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "MO",
            "license": "R8620",
            "primary": true
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "MO",
            "license": "2002023835",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chubiyojo Folake Longe, MD
• Denise Alejandra Lopez Domowicz, M.D.
• Marianne R Lopez Rhodes, M.D.
• Ashley D Lopez, PLPC
• Stephanie Michelle Lorance, LCSW
• Rachel Leigh Lorenz, LCSW
• Kelsey Louder
• Kristie R Loveall, M.ED., LPC
• Rebecca Marie Lovejoy, ND, LAC, FABNO
• Teagan Lovin

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.