MISSOURI EAR NOSE AND THROAT CENTER NPI 1083886972

NPI Information

  • NPI: 1083886972
  • Provider Name: MISSOURI EAR NOSE AND THROAT CENTER
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Organization
  • Other Name: MO ENT
  • CLIA Number: 26D2163017
  • Address: 1000 WEST NIFONG BLVD
    BUILDING 3 SUITE 100
    COLUMBIA, MO
    ZIP 65203
  • Phone: (573) 214-2000

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NPI Details

MISSOURI EAR NOSE AND THROAT CENTER is an otolaryngology in Columbia, MO. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. MISSOURI EAR NOSE AND THROAT CENTER NPI is 1083886972. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mo Ent.

The provider's business location address is:

1000 WEST NIFONG BLVD
BUILDING 3 SUITE 100
COLUMBIA, MO
ZIP 65203-520
Phone: (573) 214-2000
Fax: (573) 214-2042

The provider's authorized official is Troy D Scheidt .
The authorized official title is Member and has the following contact phone number (573) 214-2000.

The CLIA number assigned to this NPI record is 26D2163017 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2008 and was last updated on 3/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngology112260MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1209107309MEDICAIDMISSOURI
2208666503MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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