Cape Girardeau Outpatient Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

53-12 Issued in MO

Legal business name

CAPE GIRARDEAU OUTPATIENT SURGERY CENTER

Practice address

1429 N Mount Auburn Rd
Cape Girardeau, MO 63701-2171

Phone

(573) 335-9175

Fax

(573) 334-3390

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Suzie Vickery, RN

Title

Surgery Administrator

Phone

(573) 335-9175

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

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

• Richard L. Kies, M.D.

  • Ophthalmology Physician
  • Cape Girardeau, MO
  • NPI 1942278916
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1598727463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 N MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012171",
            "telephone_number": "573-335-9175",
            "fax_number": "573-334-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 N MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012171",
            "telephone_number": "573-335-9175",
            "fax_number": "573-334-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE GIRARDEAU OUTPATIENT SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "VICKERY",
        "authorized_official_first_name": "SUZIE",
        "authorized_official_title_or_position": "SURGERY ADMINISTRATOR",
        "authorized_official_telephone_number": "573-335-9175",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "53-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "28",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "107822",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1525586",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "052418",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "241640",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cape Girardeau Dentistry, LLC
• Cape Girardeau Emergency Group LLC
• Cape Girardeau I Inc
• Cape Girardeau Nephrology Associates, PC
• Cape Girardeau Operations, LLC
• Cape Girardeau Physician Services LLC
• Cape Girardeau PT LLC
• Cape Girardeau Public School District
• Cape Girardeau Residential. LLC
• Cape Girardeau Surgical Clinic, Inc.

• 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 Apr 20, 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.