DOCTORS PARK SURGERY INC
NPI 1861487324
Clinic/Center - Ambulatory Surgical in Cape Girardeau, MO

Active since September 12, 2005CLIA 26D0441984 · Waiver
30 DOCTORS PARK, CAPE GIRARDEAU, MO 63703(573) 334-9606(573) 334-9608 Get Directions Write a Review

NPPES record last updated: April 16, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Doctors Park Surgery Inc NPPES

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

DOCTORS PARK SURGERY INC (NPI 1861487324) is a healthcare organization registered as an ambulatory surgical in Cape Girardeau, Missouri and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Darin M Roberts, Administrator, as its authorized official.

NPPES Registry Identity

NPI1861487324
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameDOCTORS PARK SURGERY INC
Location Address30 DOCTORS PARKCape Girardeau, MO 63703-4928
Mailing Address30 Doctors ParkCape Girardeau, MO 63703-4928 · (573) 334-9606 · Fax (573) 334-9608
Fax(573) 334-9608
Organization SubpartNo
Authorized OfficialDarin M RobertsAdministrator · (573) 334-9606
Enumeration DateSeptember 12, 2005
Last NPPES UpdateApril 16, 2009
NPI 1861487324 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 · 4616
30 DOCTORS PARK, Cape Girardeau, MO 63703

Other Identifiers 6

Medicare PIN000040020
Other114023MO · Healthlink Provider Id #
Other490001288Railroad Medicare
Medicaid501627400MO
Other59MO · Blue Cross Blue Shield Id
Other1048868MO · First Health Provider #

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 26D0441984

Doctors' Park Surgery Inc · Cape Girardeau, MO
Active · expires Aug 31, 2026
CLIA Number26D0441984
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorW Ray G. Silliman
Laboratory Phone(573) 334-9606
Laboratory LocationDoctors' Park Surgery Inc30 Doctors Park, Cape Girardeau, MO 63703
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 12

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 cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,645 services905 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
101 services93 patients
Insertion of stent in ureter using an endoscope 52332
This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.
55 services44 patients
Crushing of stone of ureter with insertion of stent using an endoscope 52356
This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.
45 services44 patients
Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope 52351
This is a procedure where a small tube with a camera, called an endoscope, is used to examine the bladder and the tubes that carry urine from the kidneys to the bladder. It helps in detecting any abnormalities or issues.
30 services27 patients
Insertion of tube into ureter using an endoscope through bladder area 52005
This procedure involves the use of a thin, flexible tool called an endoscope. It's inserted through the body's natural pathways to reach the area where urine is transported. A small tube is then placed in this area to help with urine flow or to remove blockages.
24 services24 patients

Other Providers at the Same Location NPPES 3

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

Anesthesiology
30 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Anesthesiology
30 DOCTORS PARK
CAPE GIRARDEAU, MO 63703
Nurse Anesthetist, Certified Registered
30 DOCTORS PARK
CAPE GIRARDEAU, MO 63703

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 Doctors Park Surgery Inc's NPI number?

The NPI number for Doctors Park Surgery Inc is 1861487324. It was assigned to this organization in the NPPES registry on September 12, 2005.

Where is Doctors Park Surgery Inc located?

Doctors Park Surgery Inc is located at 30 Doctors Park, Cape Girardeau, MO 63703. The listed phone number is (573) 334-9606.

What is Doctors Park Surgery Inc's specialty?

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

Does Doctors Park Surgery Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0441984) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Doctors Park Surgery Inc was last updated on April 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.