Csa Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CSA SURGICAL CENTER LLC

Practice address

3220 Bluff Creek Dr Ste 104
Columbia, MO 65201-3664

Phone

(573) 777-3370

NPI assigned

Mar 28, 2014

Organization subpart

No

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

Authorized official

Name

John G Adams

Title

Vice President

Phone

(573) 777-3370

Specialties & licenses 1

Addresses

Listed as

Csa Surgical Center LLCCCN 26C0001151

Medicare certification status

Terminated Voluntary: merger or closure, Dec 22, 2023From the Provider of Services file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly C Suppes, M.D.

  • Surgery Physician
  • Charlottesville, VA
  • NPI 1821042060
  NPD (past)

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1457779399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 BLUFF CREEK DR STE 104",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013664",
            "telephone_number": "573-777-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 BLUFF CREEK DR STE 104",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013664",
            "telephone_number": "573-777-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSA SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "573-777-3370"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William James Crowley Jr., M.D.
• Kathryn M. Crum, L.M.T.
• Annette Cruse
• Jordan Walter Cruz
• Samantha Cruz, PHD
• Matthew Csonka, M.D.
• Cuc-LLC
• Jiankun Cui, M.D.
• Tonya Leigh Culley, M.S., LPC
• Isaiah John Cummings, MA LPC

• 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 Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.