OrganizationActive
Central Missouri Surgery LLC
NPI 1891012878 · Surgery Physician · Columbia, MO
Central Missouri Surgery LLC is a Surgery Physician organization in Columbia, MO (NPI 1891012878).
Provider details
- NPI number
- 1891012878
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Suppes, Sole Member(573) 876-1630
- License
- 2001018694 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
401 Keene St
The Boone Clinic Building
Columbia, MO 65201-6625
Phone: (573) 876-1630
Fax: (576) 876-1665
Street-level locationGet directions
Mailing address
401 Keene St
Columbia, MO 65201-6625
Registry dates
- Enumerated
- 2010-04-29
- Last updated
- 2010-07-29
Frequently asked questions
- What is Central Missouri Surgery LLC's NPI number?
- Central Missouri Surgery LLC's National Provider Identifier (NPI) is 1891012878, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Missouri Surgery LLC?
- Central Missouri Surgery LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Central Missouri Surgery LLC located?
- Central Missouri Surgery LLC's practice location on file with NPPES is 401 Keene St, Columbia, MO 65201-6625.
- What is Central Missouri Surgery LLC's phone number?
- The practice phone number listed in the NPPES registry for Central Missouri Surgery LLC is (573) 876-1630.
- Who is the authorized official for Central Missouri Surgery LLC?
- The authorized official listed on Central Missouri Surgery LLC's NPPES record is Kimberly Suppes, Sole Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Missouri Surgery LLC's NPI active?
- Yes — Central Missouri Surgery LLC's NPI (1891012878) is active in the NPPES registry as of the last update on 2010-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.