Organization
CENTRAL MO EAR, NOSE, THROAT, & SINUS, P.C.
Active
Organization
CENTRAL MO EAR, NOSE, THROAT, & SINUS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J MCDONALD MD (OWNER)
(573) 659-5570
Entity
Organization
Contact information
Practice address
3527 W TRUMAN BLVD STE 200, JEFFERSON CITY, MO 65109-5902
(573) 659-5570
(573) 659-5577
Mailing address
3527 W TRUMAN BLVD STE 200, JEFFERSON CITY, MO 65109-5902
(573) 659-5570
(573) 659-5577
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MDR1K87
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24321
BLUE CROSS BLUE SHIELD
MO
05
—
504611609
—
MO
01
—
DG6216
RAILROAD MEDICARE
MO
Enumeration date
02/14/2007
Last updated
08/17/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up