Center for Surgical Specialties, PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

110583 Issued in 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

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donet Christopher Main, DONPI 1861409625

Title

Owner

Phone

(660) 385-1006

Specialties & licenses 1

Addresses

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.

• Donet Christopher Main, DO

  • Orthopaedic Surgery Physician
  • Macon, MO
  • NPI 1861409625
  Authorized official Same address or phone

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114934205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 LACKLAND HILL PKWY",
            "address_2": "ATTN: CREDENTIALING",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463572",
            "telephone_number": "314-989-0300",
            "fax_number": "314-810-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 PROSPECT DR",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522615",
            "telephone_number": "660-385-1006",
            "fax_number": "660-385-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SURGICAL SPECIALTIES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAIN",
        "authorized_official_first_name": "DONET",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-385-1006",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "110583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Renae Bray
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• Julie L Burdin, MD
• Barbara Carter, RDH
• Nicole Carver, PHARM D
• Chiropractic Rehab Clinic
• Savannah Marie Clark, DPT
• Jamie Crouch
• Curators of the University of Missouri
• James L Deline, M.D.

• 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 Aug 22, 2020; 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.