MIDWEST SURGERY CENTER, LLC (NPI# 1013963453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013963453 |
Entity Type | Organization |
Organization Name | MIDWEST SURGERY CENTER, LLC |
Practice Address |
3105 Mcclelland Blvd Joplin MO 64804-1640 |
Mailing Address |
Po Box 2507 Joplin MO 64803-2507 |
Practice Telephone | 4177812807 |
Mailing Telephone | 4177812807 |
Enumeration Date | 2006-05-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MARLENE M REINEKE (ADMINISTRATOR) |
Authorized Official Telephone | 4177812807 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
106-6 | MO | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003171745 | Midwest Surgery Center, LLC | Clinic/Center | 65 Doctors Park, Suite B, Cape Girardeau, MO 63703-4927 | 2012-07-09 |
Street Address |
3105 MCCLELLAND BLVD |
City | JOPLIN |
State | MO |
Zip Code | 64804-1640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235133679 | David L Black | Orthopaedic Surgery | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2005-06-13 |
1336665710 | Christian Lee Holland | Nurse Practitioner | 3105 Mcclelland Blvd, Joplin, MO 64804 | 2017-08-17 |
1730443961 | Thomas L. Sanders Jr. | Orthopaedic Surgery | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2012-07-03 |
1427321900 | Edwin Wahome Mwangi | Orthopaedic Surgery | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2012-02-15 |
1336474659 | Darla D Easter | Nurse Practitioner | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2009-10-05 |
1285856955 | Todd Joseph Twiss | Orthopaedic Surgery | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2007-05-03 |
1174684229 | Adam D. Kessler | Orthopaedic Surgery | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2006-12-13 |
1588617278 | Midwest Orthopaedic Surgery Inc | Orthopaedic Surgery | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2006-05-17 |
1396716320 | Courtney Hoff | Nurse Anesthetist, Certified Registered | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2006-01-28 |
1215908249 | Great Anesthesia Services PC | Anesthesiology | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2006-01-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
Find all providers in zip 64804 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508197039 | Freeman Surgical Center LLC | Clinic/Center | 811 W. 34th Street, Joplin, MO 64804 | 2010-01-22 |
1962676304 | 32nd Street Surgery Center, LLC | Clinic/Center | 1531 E 32nd Street, Suite 6, Joplin, MO 64804-2925 | 2008-04-16 |
1790971976 | Joplin Surgical Arts, LLC | Clinic/Center | 620 W 32nd St Ste B, Joplin, MO 64804-2526 | 2007-09-20 |
1508813627 | Four States Surgery Center, PC | Clinic/Center | 1905 W 32nd Street, Suite 201, Joplin, MO 64804 | 2006-05-27 |
1104868561 | Regional Surgery Center, P.C. | Clinic/Center | 1531 W 32nd St, Suite 107, Joplin, MO 64804-1611 | 2006-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790393130 | United Surgical Center, LLC | Clinic/Center | 638 Chamblee Ln, Creve Coeur, MO 63141-7323 | 2020-07-22 |
1801443320 | St. Luke's Surgery Center of Chesterfield, LLC | Clinic/Center | 111 St. Luke's Center Drive, Bldg B, Suite 500, Chesterfield, MO 63017-3509 | 2019-08-20 |
1255991238 | Lee Summit Asc Kc LLC | Clinic/Center | 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 | 2019-06-20 |
1467925180 | Metro St Louis Surgery Center LLC | Clinic/Center | 1035 Bellevue Ave Ste 117, Saint Louis, MO 63117-1854 | 2019-01-04 |
1295207587 | Commons South Surgery Center, LLC | Clinic/Center | 12345 W Bend Dr Ste 201, Saint Louis, MO 63128-2254 | 2018-12-26 |
1922574391 | The Phoenix Oversight and Consulting, LLC. | Clinic/Center | 7746 Rannells Ave, Saint Louis, MO 63143-1823 | 2018-10-23 |
1700363611 | Apollo Ambulatory Surgery Center, LLC | Clinic/Center | 10012 Manchester Rd, Saint Louis, MO 63122-1826 | 2018-07-24 |
1336649565 | Advanced Surgical Care of St. Louis, LLC | Clinic/Center | 232 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 | 2018-02-14 |
1730698374 | Advanced Surgical Center of Sunset Hills LLC | Clinic/Center | 4594 S Lindbergh Blvd, Saint Louis, MO 63127 | 2017-09-27 |
1093224297 | United Physicians Group, LLC | Clinic/Center | 1100 Town and Country Commons Dr # 7805, Town and Country, MO 63017-8285 | 2017-09-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.