Central Missouri Urology Clinic, Inc
NPI 1710940630ActiveOrganization· Specialist· Rolla, MO
Specialist in Rolla, Missouri, registered in NPPES in April 2006. The authorized official on file is Anthony Thomas Kaczmarek, M.D., President Urologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710940630 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2006 |
| Last updated in NPPES | Jun 29, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 110031 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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