Active NPI
Mid Missouri Surgery Center, LLC
Doing business as Surgery Center at The Forum
- Ambulatory Surgical Clinic/Center
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MID MISSOURI SURGERY CENTER, LLC
- Doing business as
- Surgery Center at The Forum
- Practice address
- 1410 Forum Katy Parkway
Suite 102
Columbia, MO 65203 - Phone
- (573) 441-7070
- NPI assigned
- May 8, 2015
- 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
- Mrs. Christy Lee, RN
- Title
- Administrator
- Phone
- (573) 441-7070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | MO | Primary |
Addresses
Primary practice location
1410 Forum Katy Parkway
Suite 102
Columbia, MO 65203
Mailing address
1410 Forum Katy Parkway
Suite 102
Columbia, MO 65203
Phone (573) 441-7070
Other names 1
- Surgery Center at The Forum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151228000457 | MO | Part B Supplier - Ambulatory Surgical Center | 4789985359 | Practice locations: Columbia, MO |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Mid Missouri Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2098394 | Mid Missouri Surgery Center LLC | Certificate of waiver | Jul 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
1410 Forum Katy Pkwy
Ste 1
Columbia, MO 65203
Phone (573) 397-6556
1410 Forum Katy Pkwy
Ste 102
Columbia, MO 65203
Phone (573) 397-6556
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Columbia, MO
- NPI 1780614560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750032000000",
"number": "1760860977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 FORUM KATY PARKWAY",
"address_2": "SUITE 102",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65203",
"telephone_number": "573-441-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 FORUM KATY PARKWAY",
"address_2": "SUITE 102",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65203",
"telephone_number": "573-441-7070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID MISSOURI SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-08",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "CHRISTY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "573-441-7070",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Surgery Center at The Forum",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbia, MO
- Michael L. Minten DDS
- Michael S. Todd D.M.D., LLC
- Jill Elizabeth Michaelson, C.R.N.A.
- Mid Missouri Neurosurgery, LLP
- Mid Missouri Pain Management LLC (Noble Pain Management)
- Mid-America Anesthesia Consultants, PC
- Mid-America Anesthesia Services, LLC
- Mid-Missouri Anesthesiologists, Inc.
- Mid-Missouri Behavioral Health LLC
- Mid-Missouri Black Doula Collective
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.