Iec Surgical Centers LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

IEC SURGICAL CENTERS LLC

Practice address

170 Medical Dr
Hannibal, MO 63401-6877

Phone

(573) 231-0175

Fax

(573) 231-0202

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Gira, M.D.NPI 1861481152

Title

Owner

Phone

(217) 222-9207

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Physicians Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

Physicians Surgery CenterCCN 26C0001128

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Clarkson Optometry Inc

  • Optometrist
  • Saint Louis, MO
  • NPI 1790026540

  Member Of

  NPD member

Practitioners 1

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

• Joseph Pravoot Gira, MD

  • Ophthalmology Physician
  • Des Peres, MO
  • NPI 1861481152
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1811028293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013257",
            "telephone_number": "217-222-9207",
            "fax_number": "217-222-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MEDICAL DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016877",
            "telephone_number": "573-231-0175",
            "fax_number": "573-231-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IEC SURGICAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "GIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-222-9207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505488007",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Michael Hummel, M.D.
• Karen Humphrey
• Kathleen Humphreys, MSW, PLCSW
• Rebecca Lynne Humphreys, DPT
• Haley Hurst, PHARMD
• Brooklynn Imhof, FNP
• Justin Imhof, D.O.
• Kevin B Imhof, D.O.
• Emma Inglis
• Amanda M Ingram, RN

• Ambulatory Surgical Clinic/Center in Hannibal, MO
• Providers in Hannibal, 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 Jan 7, 2014; 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.

Verify at the official NPI Registry.