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CENTRAL MISSOURI SURGERY LLC
NPI 1891012878
Surgery in Columbia, MO

Active since April 29, 2010
401 KEENE ST, THE BOONE CLINIC BUILDING, COLUMBIA, MO 65201(573) 876-1630(576) 876-1665 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Central Missouri Surgery Llc NPPES

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

CENTRAL MISSOURI SURGERY LLC (NPI 1891012878) is a healthcare organization registered as a surgery in Columbia, Missouri and active in the NPI registry since April 2010. The organization lists Kimberly C Suppes, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1891012878
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameCENTRAL MISSOURI SURGERY LLC
Location Address401 KEENE ST, THE BOONE CLINIC BUILDINGColumbia, MO 65201-6625
Mailing Address401 Keene St, The Boone Clinic BuildingColumbia, MO 65201-6625 · (573) 876-1630 · Fax (576) 876-1665
Phone(573) 876-1630
Fax(576) 876-1665
Organization SubpartNo
Authorized OfficialKimberly C SuppesSole Member · (573) 876-1630
Enumeration DateApril 29, 2010
Last NPPES UpdateJuly 29, 2010
✔ NPI 1891012878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MO · 2001018694
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.

401 KEENE ST, Columbia, MO 65201
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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

Other Providers at the Same Location NPPES 13

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

LYLE G. BREEDING, MD, FACS, PC
Surgery (Vascular Surgery)
401 KEENE ST
COLUMBIA, MO 65201
Boone County (573) 874-3300
LAURA N WEIDT M.D.
Pediatrics (Adolescent Medicine)
401 KEENE ST
COLUMBIA, MO 65201
Boone County (573) 876-1620
TRISHA ALANE TAYLOR MD
Dermatology
401 KEENE ST
COLUMBIA, MO 65201
Boone County (573) 876-1616
DR. THOMAS CIOLINO MD
Internal Medicine
401 KEENE ST
COLUMBIA, MO 65201
Boone County (573) 874-3300
HOLLY H BONDURANT M.D.
Pediatrics (Adolescent Medicine)
401 KEENE ST
COLUMBIA, MO 65201
Boone County (573) 876-1620
PAULA R STUEBBEN M.D.
Pediatrics (Adolescent Medicine)
401 KEENE ST
COLUMBIA, MO 65201
Boone County (573) 876-1620
ELLEN H THOMAS MD.
Pediatrics (Adolescent Medicine)
401 KEENE ST
COLUMBIA, MO 65201
Boone County (573) 876-1620
LINDALL A PERRY M.D.
Dermatology (MOHS-Micrographic Surgery)
401 KEENE ST
COLUMBIA, MO 65201
Boone County (573) 876-1616

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 Central Missouri Surgery LLC's NPI number?

The NPI number for Central Missouri Surgery LLC is 1891012878. It was assigned to this organization in the NPPES registry on April 29, 2010.

Where is Central Missouri Surgery LLC located?

Central Missouri Surgery LLC is located at 401 Keene St The Boone Clinic Building, Columbia, MO 65201. The listed phone number is (573) 876-1630.

What is Central Missouri Surgery LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Central Missouri Surgery LLC was last updated on July 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.