CENTER FOR SURGICAL SPECIALTIES, PC (NPI# 1114934205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114934205 |
| Entity Type | Organization |
| Organization Name | CENTER FOR SURGICAL SPECIALTIES, PC |
| Practice Address |
1706 Prospect Dr Macon MO 63552-2615 |
| Mailing Address |
1836 Lackland Hill Pkwy Attn: Credentialing Saint Louis MO 63146-3572 |
| Practice Telephone | 6603851006 |
| Practice Fax Number | 6603851028 |
| Mailing Telephone | 3149890300 |
| Mailing Fax Number | 3148101399 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DONET CHRISTOPHER MAIN (OWNER) |
| Authorized Official Telephone | 6603851006 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
110583 | MO | Ambulatory Health Care Facilities |
| Street Address |
1706 PROSPECT DR |
| City | MACON |
| State | MO |
| Zip Code | 63552-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902812407 | Midwest Bone & Joint Center PC | Durable Medical Equipment & Medical Supplies | 1706 Prospect Dr, Macon, MO 63552-2615 | 2006-08-01 |
| 1477913192 | Midwest Surgical Specialties PC | Clinic/Center | 1706 Prospect Dr, Macon, MO 63552-2615 | 2016-02-24 |
| 1376885632 | Kalen Scott Linneman | Specialist/Technologist | 1706 Prospect Dr, Macon, MO 63552-2615 | 2013-03-25 |
| 1548502800 | Brooksy Lee Halterman | Specialist/Technologist | 1706 Prospect Dr, Macon, MO 63552-2615 | 2013-03-25 |
| 1598881971 | Janet C Ancell | Occupational Therapist | 1706 Prospect Dr, Suite B, Macon, MO 63552-2615 | 2007-03-21 |
| 1184740581 | Cynthia Marie Seiler | Physical Therapist | 1706 Prospect Dr, Suite B, Macon, MO 63552-2615 | 2007-03-21 |
| 1063529006 | Nola F. Moore | Nurse Practitioner | 1706 Prospect Dr, Macon, MO 63552-2615 | 2006-08-24 |
| 1861409625 | Donet Christopher Main | Orthopaedic Surgery | 1706 Prospect Dr, Macon, MO 63552-2615 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
| 1629035084 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1105 N Rutherford St, Macon, MO 63552 | 2006-04-28 |
| 1659560688 | Iris Ladawn Gaerditz | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552 | 2007-10-16 |
| 1841316296 | Paul Vincent Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-03-21 |
| 1891908612 | Mid Missouri Physical Therapy | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-05-08 |
| 1366568735 | Lara Beth Jones | Physical Therapist | 2005 N. Missouri St., Suite D., Macon, MO 63552-0381 | 2007-03-21 |
| 1871619262 | Abby M Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0387 | 2007-03-21 |
| 1457715906 | Kimberly Oroke | Social Worker | 821 Charles St, Columbia, MO 63552-1064 | 2016-04-11 |
| 1679100507 | Macon County Sheltered Workshop | Private Vehicle | 1103 Enterprise Rd, Macon, MO 63552-1305 | 2020-03-23 |
| Find all providers in zip 63552 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1467851758 | Macon Outpatient Surgery, LLC | Clinic/Center | 1610 Forysth Street, Macon, GA 31201 | 2014-08-22 |
| 1427307578 | Hemlock Ambulatory Surgery Center | Clinic/Center | 101 Preston Ct Ste 104, Macon, GA 31210-5771 | 2012-09-05 |
| 1134367642 | Preferred Medical Billing | Clinic/Center | 4039 Mickey St, Macon, GA 31206-3952 | 2009-01-22 |
| 1356497747 | Associates Surgery Center, Inc. | Clinic/Center | 864 1st St, Macon, GA 31201-6875 | 2007-01-26 |
| 1659426385 | Forsyth Street Ambulatory Surgery Center, LLC | Clinic/Center | 1610 Forsyth Street, Macon, GA 31201 | 2007-01-24 |
| 1952319378 | Surgical Centers of Ga PC | Clinic/Center | 3556 Riverside Dr, Macon, GA 31210-2509 | 2006-08-03 |
| 1386673044 | Urology Center of Georgia LLC | Clinic/Center | 1870 Hardeman Ave, Macon, GA 31201-1161 | 2006-07-02 |
| 1609872597 | Coliseum Same Day Surgery Center Lp | Clinic/Center | 340 Hospital Dr, Bldg E, Macon, GA 31217-3838 | 2005-06-24 |
| 1831746007 | Gc Surgery Center LLC | Clinic/Center | 6326 Peake Rd, Macon, GA 31210-3960 | 2019-08-22 |
| Find all providers in MACON | ||||
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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.