Active NPI
Surgicare of Missouri, P.C.
- Surgery Physician
- Jefferson City, MO
National Provider Identifier
1619924271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SURGICARE OF MISSOURI, P.C.
- Practice address
- 1705 Christy Dr
Suite 215
Jefferson City, MO 65101-5195 - Phone
- (573) 659-5500
- Fax
- (573) 659-5505
- NPI assigned
- May 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Borgmeyer
- Title
- Office Manager
- Phone
- (573) 659-5500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1705 Christy Dr
Suite 215
Jefferson City, MO 65101-5195
Mailing address
1705 Christy Dr
Suite 215
Jefferson City, MO 65101-5195
Phone (573) 659-5500
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199750400000",
"number": "1619924271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 CHRISTY DR",
"address_2": "SUITE 215",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651015195",
"telephone_number": "573-659-5500",
"fax_number": "573-659-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 CHRISTY DR",
"address_2": "SUITE 215",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651015195",
"telephone_number": "573-659-5500",
"fax_number": "573-659-5505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICARE OF MISSOURI, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2008-01-08",
"status": "A",
"authorized_official_last_name": "BORGMEYER",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "573-659-5500"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.