Moberly Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

164-0 Issued in MO

Legal business name

MOBERLY SURGERY CENTER LLC

Doing business as

The Surgery Center of North Central Missouri

Practice address

2103 Silva LN
Moberly, MO 65270-3660

Phone

(660) 263-1266

Fax

(660) 263-8377

NPI assigned

Dec 16, 2005

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

Mrs. Martha Wood

Title

Office Manager

Phone

(660) 263-1266

Specialties & licenses 1

Addresses

Other names 1

• The Surgery Center of North Central Missouri Doing business as

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144206665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 SILVA LN",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652703660",
            "telephone_number": "660-263-1266",
            "fax_number": "660-263-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 SILVA LN",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652703660",
            "telephone_number": "660-263-1266",
            "fax_number": "660-263-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBERLY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "660-263-1266",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "164-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Surgery Center of North Central Missouri",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Moberly Physicians Corp
• Moberly Professional Arts Pharmacy Inc. (Buntin Pharmacy)
• Moberly Public Schools
• Moberly Radiology & Imaging I, LLC
• Moberly Residential, LLC (Ravenwood Terrace)
• Lori Ann Montague, APRN, BC, FNP
• Catherine M Monti, MD, MPH
• Ashley Nicole Moore, PT, DPT
• Johnathan D Morgans, LPC
• Kirsten Dawn Morrison, PTA

• Ambulatory Surgical Clinic/Center in Moberly, MO
• Providers in Moberly, 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.