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SIKESTON SURGICAL SPECIALIST, LLC
NPI 1386058170
Surgery in Sikeston, MO

Active since June 19, 2014
1226 LINN ST, SUITE B, SIKESTON, MO 63801(573) 475-8599(573) 475-8596 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sikeston Surgical Specialist, Llc NPPES

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

SIKESTON SURGICAL SPECIALIST, LLC (NPI 1386058170) is a healthcare organization registered as a surgery in Sikeston, Missouri and active in the NPI registry since June 2014. The organization lists Hollis Tidmore, Owner, as its authorized official.

NPPES Registry Identity

NPI1386058170
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSIKESTON SURGICAL SPECIALIST, LLC
Location Address1226 LINN ST, SUITE BSikeston, MO 63801-5200
Mailing Address1226 Linn St, Suite BSikeston, MO 63801-5200
Phone(573) 475-8599
Fax(573) 475-8596
Organization SubpartNo
Authorized OfficialHollis TidmoreOwner · (573) 475-8599
Enumeration DateJune 19, 2014
Last NPPES UpdateAugust 15, 2014
✔ NPI 1386058170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MO · 2009005897
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1226 LINN ST, Sikeston, MO 63801
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 6

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

LHCG LXV, LLC
Home Health
1226 LINN ST, SUITE D
SIKESTON, MO 63801
Scott County (573) 471-1438
LHCG LXV, LLC
Home Health
1226 LINN ST, SUITE D
SIKESTON, MO 63801
Scott County (573) 471-1438
FAMILY FIRST MEDICAL CENTER, INC
Clinic/Center (Rural Health)
1226 LINN ST, SUITE F
SIKESTON, MO 63801
Scott County (573) 481-0700
ANNETTA S SCHWADER A.N.P.
Nurse Practitioner (Adult Health)
1226 LINN ST, SUITE F
SIKESTON, MO 63801
Scott County (573) 481-0700
LHCG LXV, LLC
Home Health
1226 LINN ST, SUITE F
SIKESTON, MO 63801
Scott County (573) 472-2234
SIKESTON RURAL HEALTH CENTER LLC
Clinic/Center (Rural Health)
1226 LINN ST, SUITE B
SIKESTON, MO 63801
Scott County (573) 472-3700

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 Sikeston Surgical Specialist, LLC's NPI number?

The NPI number for Sikeston Surgical Specialist, LLC is 1386058170. It was assigned to this organization in the NPPES registry on June 19, 2014.

Where is Sikeston Surgical Specialist, LLC located?

Sikeston Surgical Specialist, LLC is located at 1226 Linn St Suite B, Sikeston, MO 63801. The listed phone number is (573) 475-8599.

What is Sikeston Surgical Specialist, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

What insurance does Sikeston Surgical Specialist, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Sikeston Surgical Specialist, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sikeston Surgical Specialist, LLC was last updated on August 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.