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PHYSICIAN SURGERY CENTER
NPI 1003062100
Nurse Anesthetist, Certified Registered in Rolla, MO

Active since August 08, 2008
1500 HWY 72 EAST, ROLLA, MO 65401(573) 426-6301(573) 426-6304 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Physician Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIAN SURGERY CENTER (NPI 1003062100) is a healthcare organization registered as a nurse anesthetist, certified registered in Rolla, Missouri and active in the NPI registry since August 2008. The organization lists Ann Deters, President, as its authorized official.

NPPES Registry Identity

NPI1003062100
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NamePHYSICIAN SURGERY CENTER
Location Address1500 HWY 72 EASTRolla, MO 65401-0000
Mailing Address1207 Network Centre Dr, P.o. Box 1294Effingham, IL 62401-4632 · (217) 342-2255 · Fax (217) 342-2619
Phone(573) 426-6301
Fax(573) 426-6304
Organization SubpartNo
Authorized OfficialAnn DetersPresident · (217) 342-2255
Enumeration DateAugust 8, 2008
Last NPPES UpdateAugust 13, 2008
✔ NPI 1003062100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1500 HWY 72 EAST, Rolla, MO 65401
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Other Identifiers 8

Other511377Healthlink
OtherP00443325Railroad Medicare
Medicare OSCAR/certification000015519
Medicare PIN825575519
Other514184Healthlink
Medicare PIN821695519
Other168305Bcbs
Medicare PIN825845519

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYSICIAN SURGERY CENTER
Clinic/Center (Multi-Specialty)
1500 HWY 72 EAST
ROLLA, MO 65401
Phelps County (573) 426-6301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physician Surgery Center's NPI number?

The NPI number for Physician Surgery Center is 1003062100. It was assigned to this organization in the NPPES registry on August 8, 2008.

Where is Physician Surgery Center located?

Physician Surgery Center is located at 1500 Hwy 72 East, Rolla, MO 65401. The listed phone number is (573) 426-6301.

What is Physician Surgery Center's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Physician Surgery Center was last updated on August 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.