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CMMP SURGICAL CENTER LLC , NPI 1528060704

Clinic/Center in JEFFERSON CITY, MO

Last Updated on : Apr 20,2008

About CMMP SURGICAL CENTER LLC (NPI 1528060704)


CMMP SURGICAL CENTER LLC is a Clinic/Center in JEFFERSON CITY, United States with a focus in Ambulatory Surgical.

1528060704 is NPI number of CMMP SURGICAL CENTER LLC.

CMMP SURGICAL CENTER LLC's primary taxonomy code based on NPI Lookup is 261QA1903X with license number 95-6. This taxonomy code refers to Clinic/Center.

CMMP SURGICAL CENTER LLC current practice location address is 1705 CHRISTY DR, JEFFERSON CITY, MO. CMMP SURGICAL CENTER LLC can be reached out via phone at 573-635-7022 and via fax at 573-659-5443 .

You can also correspond with CMMP SURGICAL CENTER LLC through mail at mailing address 1705 CHRISTY DR, JEFFERSON CITY, MO, United States. Mailing address contact number is 573-635-7022.

The enumeration date of CMMP SURGICAL CENTER LLC is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 14 years ago.

The authorized official of CMMP SURGICAL CENTER LLC is Carl Doerhoff (Majority Physician Owner ). Carl Doerhoff can be reached at 5736595401.

1528060704 NPI Information

Name CMMP SURGICAL CENTER LLC
National Provider Id (NPI) 1528060704
Entity Type Organization
Practice Address 1705 CHRISTY DR, STE 100
JEFFERSON CITY, MO, United States
Practice Telephone 573-635-7022
Practice Fax Number 573-659-5443
Mailing Address 1705 CHRISTY DR , STE 100
JEFFERSON CITY, MO, United States
Mailing Telephone 573-635-7022
Mailing Fax Number 573-659-5443
Enumeration Date 01-Jun-2005
Last Updated Date 20-Apr-2008

CMMP SURGICAL CENTER LLC (NPI 1528060704) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 261QA1903X Clinic/Center, Ambulatory Surgical 95-6 MO

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
000040030 MEDICARE ID-Type Unspecified (04) MO Medicare Provider Number
37 Other (non-Medicare) (01) MO BCBS of MO Prov Number
490002814 Other (non-Medicare) (01) MO Railroad Medicare Prov Nu
508098506 MEDICAID (05) MO
537147 Other (non-Medicare) (01) MO Healthlink Prov Number
6800140 Other (non-Medicare) (01) MO United Hlth Care Prov Num
========= Other (non-Medicare) (01) MO Federal Tax ID
=========CMM Other (non-Medicare) (01) MO Mercy Hlth Plan Prov Num

CMMP SURGICAL CENTER LLC (NPI 1528060704) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1033276217 ROGER DEAN NAIL Dentist, General Practice 917 LESLIE BLVD STE C,
JEFFERSON CITY, MO, United States
03-Jan-2007
1992862197 JOSEPH RAYMOND GANZ Dentist 917 LESLIE BLVD, STE C
JEFFERSON CITY, MO, United States
03-Jan-2007
1730246935 D C HOLDINGS AND PROPERTIES LLC Custodial Care Facility 616 CLARK AVE,
JEFFERSON CITY, MO, United States
03-Jan-2007
1992240717 KATHERINE BURBANK Speech-Language Pathologist, 315 E DUNKLIN ST,
JEFFERSON CITY, MO, United States
03-Jan-2017
1740941715 JULIE MOTTE Chiropractor 3306 EMERALD LN STE A,
JEFFERSON CITY, MO, United States
03-Jan-2022
1255319554 JOHN S. SENNOTT Counselor, Professional 1303 EDGEWOOD DR,
JEFFERSON CITY, MO, United States
06-Jan-2006
1013247675 ARTHUR SAMUEL KEIPER General Practice 3401 W TRUMAN BLVD, 104
JEFFERSON CITY, MO, United States
05-Jan-2010
1447580030 ANNA BERNADINE HUMMEL Nurse Practitioner 1241 W. STADIUM BLVD.,
JEFFERSON CITY, MO, United States
05-Jan-2010
1255876868 BRIANNE SCHNIEDERS Speech-Language Pathologist, 315 E DUNKLIN ST,
JEFFERSON CITY, MO, United States
05-Jan-2017
1285022848 TASSI MICHELLE WOMACK Nurse Anesthetist, Certified Registered 2505 MISSION DR,
JEFFERSON CITY, MO, United States
06-Jan-2015
1790922920 COMMUNITY HEALTH CTR OF CENTRAL MISSOURI Clinic/Center, Federally Qualified Health Center (FQHC) 1905 STADIUM BLVD,
JEFFERSON CITY, MO, United States
09-Jan-2009
1043540479 OCEAN STAR HEALTHCARE SERVICES,LLC In Home Supportive Care 735 DEAN DR, P.O. BOX 1416
JEFFERSON CITY, MO, United States
07-Jan-2010
1629372388 PREMISE HEALTH OF MISSOURI MEDICAL P C Clinic/Center, Primary Care 6336 ALGOA RD STE 200,
JEFFERSON CITY, MO, United States
10-Jan-2011
1811586985 STEPHANIE ROSE PITTS Nurse Practitioner, Family 305 HAMLIN ST,
JEFFERSON CITY, MO, United States
13-Jan-2021
1740339332 KENNETH ERICH SCHAFERMEYER Family Medicine 2709 INDUSTRIAL DR STE A,
JEFFERSON CITY, MO, United States
10-Jan-2007
1417005893 MATTHEW EUGENE HART Emergency Medicine 2709 INDUSTRIAL DRIVE SU A,
JEFFERSON CITY, MO, United States
08-Jan-2007
1861032732 ABIGAIL AGUILAR Nurse Practitioner, Family 1511 CHRISTY DR,
JEFFERSON CITY, MO, United States
08-Jan-2020
1396333969 BHAVIK NILESH PATEL Dentist 2226 MISSOURI BLVD,
JEFFERSON CITY, MO, United States
08-Jan-2021
1861541757 DAVID DEON TUCKER Counselor, Mental Health 1905 STADIUM BLVD,
JEFFERSON CITY, MO, United States
09-Jan-2007
1316122245 WALTER CHRISTOPHER COATS Internal Medicine 3501 W TRUMAN BLVD # A,
JEFFERSON CITY, MO, United States
09-Jan-2008

FAQs

Whose NPI Number is 1528060704?

1528060704 is the NPI number of CMMP SURGICAL CENTER LLC.

Where is CMMP SURGICAL CENTER LLC located?

CMMP SURGICAL CENTER LLC is located at 1705 CHRISTY DR, JEFFERSON CITY, MO.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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