Clinic/Center in JEFFERSON CITY, MO
Last Updated on : Apr 20,2008
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 15 years ago. The authorized official of CMMP SURGICAL CENTER LLC is CARL DOERHOFF (Majority Physician Owner ). CARL DOERHOFF can be reached at 5736595401.Basic NPI information of CMMP SURGICAL CENTER LLC (NPI 1528060704) is provided below.
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 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 261QA1903X | Clinic/Center, Ambulatory Surgical | 95-6 | MO |
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
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 |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1366785420 | 360 WELLNESS LLC | Chiropractor | 925 S COUNTRY CLUB DR,
SUITE 3 JEFFERSON CITY, MO, United States |
27-Mar-2013 |
1780163436 | MARISSA RAE ABBOTT | Counselor, Professional | 1905 STADIUM BLVD,
JEFFERSON CITY, MO, United States |
13-Aug-2018 |
1831133396 | WILLIAM K ABBOTT | Orthotic Fitter | 1735 SOUTHWEST BLVD,
JEFFERSON CITY, MO, United States |
15-Jun-2006 |
1598070377 | AFSHEEN ISHAKU ABDULLAH PATEL | Family Medicine | 20 NE SAINT LUKES BLVD STE 200,
LEES SUMMIT, MO, United States |
17-Aug-2010 |
1720275027 | AMBER LYNN ABELN | Nurse Practitioner, Adult Health | 1241 W. STADIUM BLVD.,
JEFFERSON CITY, MO, United States |
01-Oct-2007 |
1598151201 | KATHY ABELN | Counselor, Mental Health | 227 METRO DR,
JEFFERSON CITY, MO, United States |
09-Apr-2015 |
1376884155 | ACCESS FOR INTERPRETATIONS &TRANSLATIONS OF HISPANIC SERVICE | Interpreter | 1609 SHADY CT,
JEFFERSON CITY, MO, United States |
05-Mar-2013 |
1558334524 | OSVALDO ACOSTA-RODRIGUEZ | Physical Medicine & Rehabilitation | 1500 SOUTHWEST BLVD,
STE C CAPITAL REGION CORPORATE HEALTH CLINIC JEFFERSON CITY, MO, United States |
09-Feb-2006 |
1760837744 | ACTION OUTSIDE | Durable Medical Equipment & Medical Supplies | PO BOX 158,
JEFFERSON CITY, MT, United States |
27-Apr-2016 |
1477540102 | ACTIVE REHAB LLC | Occupational Therapist | 2713A INDUSTRIAL DR,
JEFFERSON CITY, MO, United States |
27-Sep-2005 |
1104873355 | RABIE IBRAHIM ADAM-ELDIEN | Emergency Medicine | 4123 UNIVERSITY BLVD S,
STE E JACKSONVILLE, FL, United States |
30-May-2006 |
1649617556 | CARL ADAMS ADAMS | Counselor, Professional | 1803 SUN VALLEY DR,
SUITE B JEFFERSON CITY, MO, United States |
31-May-2013 |
1881894392 | DONNA MARIE ADAMS | Counselor, Professional | 1026 NORTHEAST DR STE B,
JEFFERSON CITY, MO, United States |
23-Jul-2007 |
1245378371 | ADAMS STREET PLACE, INC. | Skilled Nursing Facility | 1024 ADAMS ST,
JEFFERSON CITY, MO, United States |
01-Feb-2007 |
1780105007 | JENNIFER LYNN ADELMAN | Registered Nurse, Pediatrics | 1241 W STADIUM BLVD,
JEFFERSON CITY, MO, United States |
28-Jun-2017 |
1427043124 | DIANNA M. ADKISON | Anesthesiology, Pain Medicine | 1445 CHRISTY DR,
JEFFERSON CITY, MO, United States |
19-Sep-2005 |
1164538229 | RODNEY KENT ADKISON | Internal Medicine | 1125 MADISON ST,
PO BOX 1128 JEFFERSON CITY, MO, United States |
22-Aug-2006 |
1275737678 | ADORNO ROGERS TECHNOLOGY | Durable Medical Equipment & Medical Supplies, Customized Equipment | PO BOX 81557,
AUSTIN, TX, United States |
12-Jun-2007 |
1568621175 | ADVANCED RADIOLOGY OF JEFFERSON CITY, LLC | Radiology, Diagnostic Radiology | 3218 W EDGEWOOD DR STE 200,
JEFFERSON CITY, MO, United States |
09-Jun-2008 |
1538253588 | AEROCARE HOME MEDICAL EQUIPMENT, INC | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | 3325 BARTLETT BLVD,
ORLANDO, FL, United States |
03-Oct-2006 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
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.
Field Name | Field Value |
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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:
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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:
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