Cape Girardeau Surgical Clinic, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CAPE GIRARDEAU SURGICAL CLINIC, INC.

Practice address

60 Doctors' Park
Cape Girardeau, MO 63703-4928

Phone

(573) 334-3074

Fax

(573) 334-5554

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Sarah J. Holt, PHD

Title

Administrator

Phone

(573) 334-3074

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Adam Deutchman, MD

  • Surgery Physician
  • Salmon, ID
  • NPI 1750331757
  NPD (past)
• Grant Lee McClune, MD

  • Surgery Physician
  • Shawnee, OK
  • NPI 1083656243
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1821045535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 DOCTORS' PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034928",
            "telephone_number": "573-334-3074",
            "fax_number": "573-334-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 DOCTORS' PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034928",
            "telephone_number": "573-334-3074",
            "fax_number": "573-334-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE GIRARDEAU SURGICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-334-3074",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500139001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cape Girardeau Outpatient Surgery Center
• Cape Girardeau Physician Services LLC
• Cape Girardeau PT LLC
• Cape Girardeau Public School District
• Cape Girardeau Residential. LLC
• Cape Girardeau Surgical Supply LLC
• Cape Girardeau Urology Associates, Inc.
• Cape Home Oxygen, LLC
• Cape Laboratory & Pathology, LC
• Cape Neurological Surgeons, P. C.

• Surgery Physician in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.