Active NPI
Surgery Center of Farmington, L.L.C.
- Ambulatory Surgical Clinic/Center
- Farmington, MO
National Provider Identifier
1821074485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 101-6
- Legal business name
- SURGERY CENTER OF FARMINGTON, L.L.C.
- Practice address
- 400 Parkland Dr
Farmington, MO 63640-2906 - Phone
- (573) 756-8000
- Fax
- (573) 756-8288
- NPI assigned
- Dec 15, 2005
- 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
- Cindy Ann Young, R.N., C.A.S.C.
- Title
- Administrator
- Phone
- (573) 756-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 101-6 | MO | Primary |
Addresses
Primary practice location
400 Parkland Dr
Farmington, MO 63640-2906
Mailing address
400 Parkland Dr
Farmington, MO 63640-2906
Phone (573) 756-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 504759200 | Medicaid | MO |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Surgery Center of Farmington LLC
- Medicare certification status
- Terminated Other: provider status change, Mar 29, 2024
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
400 Parkland Dr
Farmington, MO 63640
Phone (303) 755-3201
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Anesthesiology Physician
- Farmington, MO
- NPI 1033180658
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Farmington, MO
- NPI 1306815972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637193600000",
"number": "1821074485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 PARKLAND DR",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636402906",
"telephone_number": "573-756-8000",
"fax_number": "573-756-8288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PARKLAND DR",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636402906",
"telephone_number": "573-756-8000",
"fax_number": "573-756-8288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGERY CENTER OF FARMINGTON, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-15",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "573-756-8000",
"authorized_official_credential": "R.N., C.A.S.C."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MO",
"license": "101-6",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "504759200",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.