Boone Physician Services, LLC
NPI 1295699486ActiveOrganization· Surgery· Columbia, MO
Surgery in Columbia, Missouri, registered in NPPES in December 2025, part of Boone Physician Services, LLC. The authorized official on file is Edward James Clayton, Chief Financial Officer.
Overview
| NPI | 1295699486 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Boone Physician Services, LLC |
| NPI issued | Dec 11, 2025 |
| Last updated in NPPES | Dec 11, 2025 |
| Certified by provider | Dec 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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