Silver Springs Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

976 Issued in MO

Legal business name

SILVER SPRINGS SURGERY CENTER LLC

Practice address

319 S Silver Springs Rd
Ste B
Cape Girardeau, MO 63703

Phone

(573) 332-1300

Fax

(573) 332-1550

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert L Bauer, PRESIDENT CRNA

Title

President

Phone

(573) 332-1300

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

Silver Springs Surgery Center LLCCCN 26C0001051

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437116274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S SILVER SPRINGS RD",
            "address_2": "STE B",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63703",
            "telephone_number": "573-332-1300",
            "fax_number": "573-332-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S SILVER SPRINGS RD",
            "address_2": "STE B",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63703",
            "telephone_number": "573-332-1300",
            "fax_number": "573-332-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER SPRINGS SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-332-1300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PRESIDENT CRNA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "405137",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "150194",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Bernarr Siebert, M.D.
• Morgan Paige Siemer, APRN
• Gabrielle Rebecca Sierman, APRN, FNP
• Brenda Sue Sikes, LPC
• William Ray Silliman, MD
• Beth Allyson Simmons, PA-C
• Lauren Sipes
• Kelly Sissom, MA, LPC
• Danielle Sitzes, PLPC
• Kristi Dawn Skinner, MSN, APRN, ACNS-BC

• Ambulatory Surgical Clinic/Center in Cape Girardeau, MO
• Providers in Cape Girardeau, 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.
• 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.