Mexico Surgical Associates, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

108014 Issued in MO

Legal business name

MEXICO SURGICAL ASSOCIATES, INC

Practice address

626 E Summit St
Suite F
Mexico, MO 65265-3298

Phone

(573) 581-2228

Fax

(573) 581-4995

NPI assigned

Jul 28, 2008

Last updated

Aug 1, 2008By 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

Dr. Peter D Perll, MD

Title

President

Phone

(573) 581-2228

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1538324736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 E SUMMIT ST",
            "address_2": "SUITE F",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653298",
            "telephone_number": "573-581-2228",
            "fax_number": "573-581-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 E SUMMIT ST",
            "address_2": "SUITE F",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653298",
            "telephone_number": "573-581-2228",
            "fax_number": "573-581-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEXICO SURGICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "PERLL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-581-2228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "108014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207968819",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mexico Internal Medicine, LLP
• Mexico Manor, Inc. (Mexico Manor)
• Mexico Medical Specialists, L.C.
• Mexico Public Schools
• Mexico Residential, LLC (Lakeview Bend)
• Mexico Womens Health Specialists
• Mexico Womens Health Specialists LLC
• Missouri Central Physical Therapy, LLC (Mexico Physical Therapy)
• Missouri Veterans' Commission (Missouri Veterans' Home - Mexico)
• Jeffrey Allen Moeller, D.D.S.

• Surgery Physician in Mexico, MO
• Providers in Mexico, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.