Center for Surgical Specialties, PC
Organization Active NPI Ambulatory Surgical Clinic/Center · Macon, MO
NPI 1114934205 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1114934205
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- 110583 (MO)
- Legal business name
- CENTER FOR SURGICAL SPECIALTIES, PC
- Practice address
- 1706 Prospect Dr
Macon, MO 63552-2615 - Phone
- (660) 385-1006
- Fax
- (660) 385-1028
- NPI assigned
- Aug 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Donet Christopher Main, DO
- Title
- Owner
- Phone
- (660) 385-1006
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 110583 | MO | Yes |
Addresses
Primary practice location
1706 Prospect Dr
Macon, MO 63552-2615
Mailing address
1836 Lackland Hill Pkwy
Attn: Credentialing
Saint Louis, MO 63146-3572
Phone (314) 989-0300
Other providers in Macon, MO
- Stephanie Renae Bray
- Bristol Care, Inc.
- Julie L Burdin
- Barbara Carter
- Nicole Carver
- Chiropractic Rehab Clinic
- Savannah Marie Clark
- Jamie Crouch
- Curators of the University of Missouri
- James L Deline
All providers in Macon, MO · Ambulatory Surgical Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.