Active NPI
Surgery Center of Farmington, LLC
- Anesthesiology Physician
- Farmington, MO
National Provider Identifier
1033180658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- SURGERY CENTER OF FARMINGTON, LLC
- Practice address
- 400 Parkland Dr
Farmington, MO 63640-2906 - Phone
- (573) 756-8000
- Fax
- (573) 756-8288
- NPI assigned
- Jan 31, 2006
- Last updated
- Jun 3, 2015
- Organization subpart
- Yes
- Parent organization
- SURGERY CENTER OF FARMINGTON LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lesley Ann Wigger
- Title
- Business Office Manager
- Phone
- (573) 756-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
400 Parkland Dr
Farmington, MO 63640-2906
Mailing address
400 Parkland Dr
Farmington, MO 63640-2906
Phone (573) 756-8000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326103490 | Other | MO | NPI |
| 1942312061 | Other | MO | NPI |
| 1437104304 | Other | MO | NPI |
| 504759218 | Medicaid | MO |
National Provider Directory
National Provider Directory- Part of
- The Surgery Center of F
Locations
400 Parkland Dr
Farmington, MO 63640
Phone (303) 755-3201
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Ambulatory Surgical Clinic/Center
- Farmington, MO
- NPI 1821074485
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Farmington, MO
- NPI 1306815972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433289600000",
"number": "1033180658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 PARKLAND DR",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636402906",
"telephone_number": "573-756-8000",
"fax_number": "573-756-8288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PARKLAND DR",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636402906",
"telephone_number": "573-756-8000",
"fax_number": "573-756-8288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGERY CENTER OF FARMINGTON, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SURGERY CENTER OF FARMINGTON LLC",
"enumeration_date": "2006-01-31",
"last_updated": "2015-06-03",
"status": "A",
"authorized_official_last_name": "WIGGER",
"authorized_official_first_name": "LESLEY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "573-756-8000"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1326103490",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1942312061",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1437104304",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "504759218",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.