Cape Girardeau Surgical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CAPE GIRARDEAU SURGICAL SUPPLY LLC

Practice address

60 Doctors Park Ste 200
Cape Girardeau, MO 63703-4928

Phone

(573) 334-7253

NPI assigned

Apr 26, 2024

Organization subpart

No

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

Authorized official

Name

Adam M Pople, FACHE, FACMPE

Title

Owner

Phone

(573) 519-5500

Specialties & licenses 1

Addresses

Other names 1

• The Breast Boutique Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

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

• Ronald Richmond, MD

  • Surgery Physician
  • Cape Girardeau, MO
  • NPI 1033160940
  NPD
• Sydnei Tolefree

  • Surgery Physician
  • Columbia, MO
  • NPI 1669854097
  NPD (past)

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1508612821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 DOCTORS PARK STE 200",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034928",
            "telephone_number": "573-334-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE GIRARDEAU SURGICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "POPLE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-519-5500",
        "authorized_official_credential": "FACHE, FACMPE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Breast Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cape Girardeau Physician Services LLC
• Cape Girardeau PT LLC
• Cape Girardeau Public School District
• Cape Girardeau Residential. LLC
• Cape Girardeau Surgical Clinic, Inc.
• Cape Girardeau Urology Associates, Inc.
• Cape Home Oxygen, LLC
• Cape Laboratory & Pathology, LC
• Cape Neurological Surgeons, P. C.
• Cape Neurosurgical Associates PC

• Durable Medical Equipment & Medical Supplies in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.