Active NPI
Semo Otolaryngology Head & Neck Surgery Inc
- Otolaryngology Physician
- Cape Girardeau, MO
National Provider Identifier
1720095466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- R8494
- Legal business name
- SEMO OTOLARYNGOLOGY HEAD & NECK SURGERY INC
- Practice address
- 150 South Mount Auburn Road
Suite 420
Cape Girardeau, MO 63703 - Phone
- (573) 335-4448
- Fax
- (573) 335-4466
- NPI assigned
- Aug 2, 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
- Tammy Jean Deimund
- Title
- Office Manager
- Phone
- (573) 335-4448
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | R8494 | MO | Primary |
| Otolaryngology Physician | 207Y00000X | MD108690 | MO | |
| Otolaryngology Physician | 207Y00000X | 2001021769 | MO |
Addresses
Primary practice location
150 South Mount Auburn Road
Suite 420
Cape Girardeau, MO 63703
Mailing address
150 South Mount Auburn Road
Suite 420
Cape Girardeau, MO 63703
Phone (573) 335-4448
National Provider Directory
National Provider DirectoryLocations
18 Doctors Park
Cpe Girardeau, MO 63703
Phone (573) 331-5589
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Cape Girardeau, MO
- NPI 1598759169
-
- Otolaryngology Physician
- Cape Girardeau, MO
- NPI 1225022106
-
- Otolaryngology Physician
- Cape Girardeau, MO
- NPI 1346234945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720095466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 SOUTH MOUNT AUBURN ROAD",
"address_2": "SUITE 420",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "63703",
"telephone_number": "573-335-4448",
"fax_number": "573-335-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SOUTH MOUNT AUBURN ROAD",
"address_2": "SUITE 420",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "63703",
"telephone_number": "573-335-4448",
"fax_number": "573-335-4466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEMO OTOLARYNGOLOGY HEAD & NECK SURGERY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEIMUND",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "573-335-4448"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "MO",
"license": "R8494",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "MO",
"license": "MD108690",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "MO",
"license": "2001021769",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
- Semo Alliance for Disability Independence
- Semo Alliance for Disability Independence
- Semo Alliance for Disability Independence, Inc.
- Semo Alliance for Disability Independence, Inc.
- Semo Medical Equipment LLC
- Semo Quality Sleep Lab LLC
- Randi Necole Senciboy, LMSW, MAADC II
- Frederick Joseph Severs Jr., M.D.
- Clare M Seyer, PTA
- Kia Marissa Seyer, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.