NORTHEAST MISSOURI AMBULATORY SURGERY CENTER LLC
NPI 1710982699
Clinic/Center - Ambulatory Surgical in Hannibal, MO

Q: What is Northeast Missouri Ambulatory Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since June 16, 2005CLIA 26D0975386 · Waiver

98 MEDICAL DRIVE, HANNIBAL, MO 63401(573) 406-1301(573) 406-0511 Get Directions Write a Review

NPPES record last updated: October 21, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Northeast Missouri Ambulatory Surgery Center Llc NPPES

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

NORTHEAST MISSOURI AMBULATORY SURGERY CENTER LLC (NPI 1710982699) is a healthcare organization registered as an ambulatory surgical in Hannibal, Missouri and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through July 5, 2028 and lists Matthew Johnson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1710982699

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameNORTHEAST MISSOURI AMBULATORY SURGERY CENTER LLC

Location Address98 MEDICAL DRIVEHannibal, MO 63401

Mailing AddressPo Box 511Hannibal, MO 63401-0511 · (573) 406-1301 · Fax (573) 406-0511

Phone(573) 406-1301

Fax(573) 406-0511

Organization SubpartNo

Authorized OfficialMatthew JohnsonAdministrator · (573) 406-1301

Enumeration DateJune 16, 2005

Last NPPES UpdateOctober 21, 2010

✔ NPI 1710982699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in MO · 108

98 MEDICAL DRIVE, Hannibal, MO 63401

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Other Identifiers 6

Other143365MO · Bcbs Provider Id

Medicaid=========001IL

Medicaid505073205MO

Other431607MO · Healthlink Provider Id

Other490004674MO · Railroad Medicare

Medicare ID-Type Unspecified000040048MO · Medicare Provider Number

Accepted Insurance

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

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 Waiver 26D0975386

Northeast Missouri Ambulatory Surgery Center · Hannibal, MO

Active · expires Jul 5, 2028

CLIA Number26D0975386

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJuly 6, 2026

Certificate Expiration DateJuly 5, 2028

Laboratory DirectorBhagirath Katbamna

Laboratory Phone(573) 406-1301

Laboratory LocationNortheast Missouri Ambulatory Surgery Center98 Medical Drive PO Box 511, Hannibal, MO 63401

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

219 services218 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

71 services71 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

64 services63 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

57 services57 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

53 services51 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

44 services44 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

31 services31 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

27 services23 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

22 services20 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

18 services16 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

17 services13 patients

Removal of large bowel tissue using a flexible endoscope 45390

This procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.

16 services16 patients

Insertion of central venous tube with port (5 years or older) 36561

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

13 services13 patients

Partial removal of breast 19301

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

12 services12 patients

Removal of bone joints between wrist and fingers 25447

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

11 services11 patients

Other Providers at the Same Location NPPES 4

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

HANNIBAL ANESTHESIA ASSOCIATES LLC

Anesthesiology

98 MEDICAL DRIVE
HANNIBAL, MO 63401

Marion County (573) 406-1301

TRIA WILHITE M.D.

Anesthesiology

98 MEDICAL DRIVE
HANNIBAL, MO 63401

Marion County (573) 406-1301

LAWERENCE LAUER CRNA

Anesthesiology

98 MEDICAL DRIVE
HANNIBAL, MO 63401

Marion County (573) 406-1301

THOMAS TURNER CRNA

Anesthesiology

98 MEDICAL DRIVE
HANNIBAL, MO 63401

Marion County (573) 406-1301

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 Northeast Missouri Ambulatory Surgery Center LLC's NPI number?

The NPI number for Northeast Missouri Ambulatory Surgery Center LLC is 1710982699. It was assigned to this organization in the NPPES registry on June 16, 2005.

Where is Northeast Missouri Ambulatory Surgery Center LLC located?

Northeast Missouri Ambulatory Surgery Center LLC is located at 98 Medical Drive, Hannibal, MO 63401. The listed phone number is (573) 406-1301.

What is Northeast Missouri Ambulatory Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Northeast Missouri Ambulatory Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0975386) is associated with this NPI, valid through July 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeast Missouri Ambulatory Surgery Center LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Northeast Missouri Ambulatory Surgery Center 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 Northeast Missouri Ambulatory Surgery Center LLC was last updated on October 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

About Northeast Missouri Ambulatory Surgery Center Llc NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 6

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 26D0975386

Areas of Expertise CMS Part B claims 15

Other Providers at the Same Location NPPES 4

Frequently Asked Questions NPPES & CMS

What is Northeast Missouri Ambulatory Surgery Center LLC's NPI number?

Where is Northeast Missouri Ambulatory Surgery Center LLC located?

What is Northeast Missouri Ambulatory Surgery Center LLC's specialty?

Does Northeast Missouri Ambulatory Surgery Center LLC hold a CLIA laboratory certificate?

What insurance does Northeast Missouri Ambulatory Surgery Center LLC accept?

When was this NPI record last updated?

Certificate of Waiver 26D0975386