Healthcare Provider Details

I. General information

NPI: 1760693873
Provider Name (Legal Business Name): JOHN VERBSKY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 E BROADWAY STE 300
COLUMBIA MO
65201-8023
US

IV. Provider business mailing address

3106 BALLARD MILL DR
COLUMBIA MO
65203-1296
US

V. Phone/Fax

Practice location:
  • Phone: 573-256-7700
  • Fax:
Mailing address:
  • Phone: 715-551-6293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2006017318
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number2009012124
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number2009012124
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: