Healthcare Provider Details

I. General information

NPI: 1215866124
Provider Name (Legal Business Name): PULSEPOINT CARDIOVASCULAR, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W NIFONG BLVD STE 120
COLUMBIA MO
65203-5615
US

IV. Provider business mailing address

1000 W NIFONG BLVD STE 120
COLUMBIA MO
65203-5615
US

V. Phone/Fax

Practice location:
  • Phone: 443-850-1407
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARTIN TIBUAKUU
Title or Position: PRESIDENT
Credential: MD, MPH, FACC
Phone: 443-850-1407