SOUTHEAST HOSPITAL BASED PHYSICIANS LLC
NPI 1003230129
Hospitalist in Cape Girardeau, MO

Active since February 10, 2014CLIA 26D0045711 · Accreditation
1701 LACEY ST, CAPE GIRARDEAU, MO 63701(573) 331-6880(573) 331-6887 Get Directions Write a Review

NPPES record last updated: February 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Hospital Based Physicians Llc NPPES

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

SOUTHEAST HOSPITAL BASED PHYSICIANS LLC (NPI 1003230129) is a healthcare organization registered as a hospitalist in Cape Girardeau, Missouri and active in the NPI registry since February 2014. The organization holds an CLIA Accreditation certificate valid through February 8, 2027 and lists Hubert King, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003230129
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NameSOUTHEAST HOSPITAL BASED PHYSICIANS LLC
Location Address1701 LACEY STCape Girardeau, MO 63701-5230
Mailing Address1701 Lacey StCape Girardeau, MO 63701-5230 · (573) 331-6880 · Fax (573) 331-6887
Fax(573) 331-6887
Organization SubpartNo
Authorized OfficialHubert KingCfo · (573) 651-5870
Enumeration DateFebruary 10, 2014
NPI 1003230129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X
1701 LACEY ST, Cape Girardeau, MO 63701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 26D0045711

Southeast Hospital · Cape Girardeau, MO
Active · expires Feb 8, 2027
CLIA Number26D0045711
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Heather M. O'connor
Laboratory Phone(573) 651-5540
Laboratory LocationSoutheast Hospital1701 Lacey Street, Cape Girardeau, MO 63701
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

Anesthesiology
1701 LACEY ST
CAPE GIRARDEAU, MO 63701
Hospitalist
1701 LACEY ST
CAPE GIRARDEAU, MO 63701
Nurse Practitioner (Family)
1701 LACEY ST
CAPE GIRARDEAU, MO 63701
Anesthesiology
1701 LACEY ST
CAPE GIRARDEAU, MO 63701
Nurse Anesthetist, Certified Registered
1701 LACEY ST
CAPE GIRARDEAU, MO 63701
Nurse Practitioner (Acute Care)
1701 LACEY ST
CAPE GIRARDEAU, MO 63701
Nurse Anesthetist, Certified Registered
1701 LACEY ST
CAPE GIRARDEAU, MO 63701
Pediatrics
1701 LACEY ST, EMERGENCY DEPARTMENT
CAPE GIRARDEAU, MO 63701

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 Southeast Hospital Based Physicians LLC's NPI number?

The NPI number for Southeast Hospital Based Physicians LLC is 1003230129. It was assigned to this organization in the NPPES registry on February 10, 2014.

Where is Southeast Hospital Based Physicians LLC located?

Southeast Hospital Based Physicians LLC is located at 1701 Lacey St, Cape Girardeau, MO 63701. The listed phone number is (573) 331-6880.

What is Southeast Hospital Based Physicians LLC's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Does Southeast Hospital Based Physicians LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 26D0045711) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southeast Hospital Based Physicians LLC was last updated on February 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.