Cedar Oaks Surgery Center LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Warrensburg, MO
NPI 1275564346 · NPPES record last updated Apr 30, 2013
Key facts
- NPI
- 1275564346
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- 165-0 (MO)
- Legal business name
- CEDAR OAKS SURGERY CENTER LLC
- Practice address
- 706 N Burkarth Rd
Warrensburg, MO 64093-9303 - Phone
- (660) 747-8868
- Fax
- (660) 747-5481
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Mark Hechler, D.O.
- Title
- Medical Director
- Phone
- (660) 747-8868
Practitioners 2
-
Mark Owen Covington, M.D.
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Cedar Oaks Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D1036000 | Cedar Oaks Surgery Center | Certificate of waiver | Jan 17, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050909000541 | MO | Part B Supplier - Ambulatory Surgical Center | 9436181435 |
Receives reassigned benefits from 2 practitioners Practice locations: Warrensburg, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 165-0 | MO | Yes |
Addresses
Primary practice location
706 N Burkarth Rd
Warrensburg, MO 64093-9303
Mailing address
706 N Burkarth Rd
Warrensburg, MO 64093-9303
Phone (660) 747-8868
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91254019 | Other | BLUE CROSS BLUE SHIELD KC | |
| P00275083 | Other | RAILROAD MEDICARE | |
| 507502300 | Medicaid | MO |
Other providers in Warrensburg, MO
- Kristina Kay Carter
- Jeremy Carver
- Elizabeth J Cassidy
- Jennifer Louise Cave
- Susan Cavender
- Central Family Medicine, Inc
- Central Physical Rehabilitation and Sports Medicine, LLC
- Kelsy Chapman
- Marvin B Charles
- Brianne Cherry
All providers in Warrensburg, 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 Apr 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.