COLUMBIA SKILLED NURSING ASSOCIATES LLC NPI 1366234767

NPI Information

  • NPI: 1366234767
  • Provider Name: COLUMBIA SKILLED NURSING ASSOCIATES LLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 3535 BERRYWOOD DR
    COLUMBIA, MO
    ZIP 65201
  • Phone: (573) 819-8205

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NPI Details

COLUMBIA SKILLED NURSING ASSOCIATES LLC is an internal medicine in Columbia, MO. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. COLUMBIA SKILLED NURSING ASSOCIATES LLC NPI is 1366234767. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3535 BERRYWOOD DR
COLUMBIA, MO
ZIP 65201-584
Phone: (573) 819-8205

The provider's authorized official is David T James .
The authorized official title is Partner, Owner and has the following contact phone number (573) 819-8205.

The enumeration date for this NPI number is 5/21/2025 and was last updated on 9/29/2025.

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
1363LG0600XNurse PractitionerGerontologyNo
2207R00000XInternal MedicineYes

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
1500159752MEDICAIDMISSOURI

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: 11/21/2025

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