Dr Jay L Faurot Iii, MD | |
404 Keene St, Columbia, MO 65201 | |
(572) 445-7300 | |
(573) 445-7301 |
Full Name | Dr Jay L Faurot Iii |
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Gender | Male |
Speciality | Anesthesiology |
Location | 404 Keene St, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265599823 | NPI | - | NPPES |
050042925 | Other | MO | RR MEDICARE |
20610907 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 103138 (Missouri) | Primary |
207L00000X | Anesthesiology | 26300 (Missouri) | Secondary |
Entity Name | Columbia Orthopaedic Group, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851392542 PECOS PAC ID: 9335042811 Enrollment ID: O20040130001024 |
Entity Name | Mid-missouri Anesthesiologists, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518929157 PECOS PAC ID: 4880651504 Enrollment ID: O20041214001188 |
Mailing Address | Practice Location Address |
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Dr Jay L Faurot Iii, MD Po Box 7536, Columbia, MO 65205 Ph: (573) 445-7300 | Dr Jay L Faurot Iii, MD 404 Keene St, Columbia, MO 65201 Ph: (572) 445-7300 |
Sarah Marie Von Thaer, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985 | |
Ryan Daniel Montgomery, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985 | |
Thomas Wesley Meyer, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 E Broadway, Columbia, MO 65201 Phone: 573-815-6262 Fax: 573-815-2308 | |
Dr. Oleksiy Mykhaylovych Zyernov, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Dc056.20, Columbia, MO 65212 Phone: 573-882-2568 Fax: 885-903-0985 | |
Frederick T O'donnell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65201 Phone: 573-882-2568 Fax: 573-882-2226 | |
Stephanie Elizabeth Cain, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-3466 | |
Eric Kenneth Jagim, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 573-882-2226 |