Surgical Care Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICAL CARE CENTER, LLC

Practice address

1706 Prospect Dr Ste D
Macon, MO 63552-2615

Phone

(660) 385-1008

Fax

(660) 385-1028

NPI assigned

Mar 17, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donet Main, DO

Title

Member

Phone

(573) 355-6002

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1083414296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 PROSPECT DR STE D",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522615",
            "telephone_number": "660-385-1008",
            "fax_number": "660-385-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 PROSPECT DR STE D",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522615",
            "telephone_number": "660-385-1008",
            "fax_number": "660-385-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "MAIN",
        "authorized_official_first_name": "DONET",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-355-6002",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Marie Seiler, M.P.T.
• Kirsten Renae Simms, OTRL
• Shannon M Sims, RDH
• Lillian M Snider, MA, LPC
• Clifford Strupp, MD, MBA
• Jason Lee Taylor, PHARM D
• Matthew Theriac, D.D.S.
• Thomas Thurman, D.C.
• Vision Care Associates, LLC
• Wal-Mart Stores East LP

• Ambulatory Surgical Clinic/Center in Macon, MO
• Providers in Macon, MO by specialty
• Ambulatory Surgical Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.