OrganizationActive
Sikeston Surgical Specialist, LLC
NPI 1386058170 · Surgery Physician · Sikeston, MO
Sikeston Surgical Specialist, LLC is a Surgery Physician organization in Sikeston, MO (NPI 1386058170).
Provider details
- NPI number
- 1386058170
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Hollis Tidmore, Owner(573) 475-8599
- License
- 2009005897 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1226 Linn St
Suite B
Sikeston, MO 63801-5200
Phone: (573) 475-8599
Fax: (573) 475-8596
Street-level locationGet directions
Mailing address
1226 Linn St
Sikeston, MO 63801-5200
Registry dates
- Enumerated
- 2014-06-19
- Last updated
- 2014-08-15
Frequently asked questions
- What is Sikeston Surgical Specialist, LLC's NPI number?
- Sikeston Surgical Specialist, LLC's National Provider Identifier (NPI) is 1386058170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sikeston Surgical Specialist, LLC?
- Sikeston Surgical Specialist, LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Sikeston Surgical Specialist, LLC located?
- Sikeston Surgical Specialist, LLC's practice location on file with NPPES is 1226 Linn St, Sikeston, MO 63801-5200.
- What is Sikeston Surgical Specialist, LLC's phone number?
- The practice phone number listed in the NPPES registry for Sikeston Surgical Specialist, LLC is (573) 475-8599.
- Who is the authorized official for Sikeston Surgical Specialist, LLC?
- The authorized official listed on Sikeston Surgical Specialist, LLC's NPPES record is Hollis Tidmore, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sikeston Surgical Specialist, LLC's NPI active?
- Yes — Sikeston Surgical Specialist, LLC's NPI (1386058170) is active in the NPPES registry as of the last update on 2014-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.