Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Central Missouri Surgery LLC

Organization Surgery Physician · NPI 1891012878

Central Missouri Surgery LLC is a Surgery Physician in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2010.

Licensed in
MO
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

401 Keene St The Boone Clinic Bldg
Columbia, MO 65201-6625
Phone: (573) 876-1630
Fax: (576) 876-1665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2001018694 (MO)

Record details

NPI number1891012878
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Suppes — Sole Member · (573) 876-1630
NPI enumeratedApril 29, 2010
Last updated in NPPESJuly 29, 2010
Mailing address401 Keene St, The Boone Clinic Building, Columbia, MO 65201-6625

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