Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tim Soncasie Internal Medicine at Boone Clinic, LLC

Organization Internal Medicine Physician · NPI 1750764536

Tim Soncasie Internal Medicine at Boone Clinic, LLC is an Internal Medicine Physician in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2015.

Licensed in
MO
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

401 N Keene St
Columbia, MO 65201-6625
Phone: (573) 876-1665
Fax: (573) 874-0665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 111504 (MO)

Record details

NPI number1750764536
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tim Soncasie — President · (573) 876-1660
NPI enumeratedJune 30, 2015
Last updated in NPPESJune 30, 2015
Mailing address401 N Keene St, Columbia, MO 65201-6625

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