Surgery Center of Columbia LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTER OF COLUMBIA LP

Practice address

305 N Keene St
Ste 107
Columbia, MO 65201-6897

Phone

(573) 256-6272

Fax

(573) 256-6304

NPI assigned

Aug 12, 2006

Last updated

Mar 4, 2025By 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

Christopher Hartshorn

Title

Authorized Official

Phone

(314) 800-2017

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Columbia Musculoskeletal Surgery CNTR LLC

  • Ambulatory Surgical Clinic/Center
  • Columbia, MO
  • NPI 1457095044

  O20040226000353

  Same enrollment
• Global Anesthesia Specialist PA

  • Anesthesiology Physician
  • Liberty, MO
  • NPI 1629011184

  O20040226000353

  Same enrollment

Listed as

Surgery Center of Columbia LPCCN 26C0001088

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Ability Network3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Columbia Musculoskeletal Surgery CNTR LLC

  • Ambulatory Surgical Clinic/Center
  • Columbia, MO
  • NPI 1457095044
  NPD tax ID
• Global Anesthesia Specialist PA

  • Anesthesiology Physician
  • Liberty, MO
  • NPI 1629011184
  NPD tax ID

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253

  Member Of

  NPD member
• VHS San Antonio Partners, LLC

  dba Westover Hills Baptist Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1831970532

  Member Of

  NPD member

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1275545279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N KEENE ST",
            "address_2": "STE 107",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016897",
            "telephone_number": "573-256-6272",
            "fax_number": "573-256-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N KEENE ST",
            "address_2": "STE 107",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016897",
            "telephone_number": "573-256-6272",
            "fax_number": "573-256-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF COLUMBIA LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "HARTSHORN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "314-800-2017"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "185-18",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507492205",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tanelle Denise Sumrall, CRNA
• Wenjia Sun
• Elizabeth Ann Sundvold, FNP
• Ramez Sami Sunna, M.D.
• Superior Blessings LLC
• Surgical Center at Columbia Orthopaedic Group LLC
• Susan S Johnson MD and Brian L Johnson MD PC
• Susie Early MD PC
• Ashlee Sutherland, AGPCNP-BC
• Charles Sutherland, DO

• Ambulatory Surgical Clinic/Center in Columbia, MO
• Providers in Columbia, 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 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.