| Christina E. Stixrud & Associates, M.d., P.c. | |
|
1701 E Broadway Suite 203 Columbia MO 65201-8018 | |
| (573) 441-1000 | |
| (573) 441-1010 |
| Full Name | Christina E. Stixrud & Associates, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1701 E Broadway, Columbia, Missouri |
| Authorized Official Name and Position | Christina Elaine Stixrud (OWNER) |
| Authorized Official Contact | 5734411000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christina E. Stixrud & Associates, M.d., P.c. 1701 E Broadway Suite 203 Columbia MO 65201-8018 Ph: (573) 441-1000 | Christina E. Stixrud & Associates, M.d., P.c. 1701 E Broadway Suite 203 Columbia MO 65201-8018 Ph: (573) 441-1000 |
| NPI Number | 1902907967 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 12/30/2009 |
| Medicare PECOS PAC ID | 0446266530 |
|---|---|
| Medicare Enrollment ID | O20060227000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902907967 | NPI | - | NPPES |
| 500774500 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2004014283 (Missouri) | Primary |
| 208000000X | Pediatrics | 2004014283 (Missouri) | Secondary |
| Provider Name | Christina E Stixrud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205937265 PECOS PAC ID: 7911968904 Enrollment ID: I20041022000711 |
| Provider Name | Margaret Ann Poehlmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912026469 PECOS PAC ID: 0446514541 Enrollment ID: I20180425001440 |
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Sme Utah, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5728 Pergola Dr Apt 207, Columbia, MO 65201 Phone: 678-977-5507 | |
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