Midwest Surgical Specialties PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MIDWEST SURGICAL SPECIALTIES PC

Practice address

1706 Prospect Dr
Macon, MO 63552-2615

Phone

(660) 385-1008

NPI assigned

Feb 24, 2016

Last updated

Feb 24, 2016By 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

Teresa Grimshaw

Title

Manager

Phone

(660) 385-1008

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1477913192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 PROSPECT DR",
            "address_2": "PO BOX 402",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522615",
            "telephone_number": "660-385-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 PROSPECT DR",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522615",
            "telephone_number": "660-385-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SURGICAL SPECIALTIES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "GRIMSHAW",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "660-385-1008"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Management of Macon, Inc.
• Beth Mettes, FNP-BC
• Mid Missouri Physical Therapy
• Midwest Bone & Joint Center PC
• Midwest Orthopedic Surgical Services LLC
• Miller Rexall Drug Store
• Miller Rexall Drug, Inc
• Miller Rexall Drug, Inc. (Miller Rexall Drug)
• Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #11314)
• Nola F. Moore, FNP

• Ambulatory Surgical Clinic/Center in Macon, MO
• Providers in Macon, 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, 2016; 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.