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

Cmmp Surgical Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1528060704

Cmmp Surgical Center LLC is an Ambulatory Surgical Clinic/Center in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2005.

Licensed in
MO
In the registry since
2005
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

1705 Christy Dr Ste 100
Jefferson City, MO 65101-5195
Phone: (573) 635-7022
Fax: (573) 659-5443
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 95-6 (MO)

Record details

NPI number1528060704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Doerhoff — Majority Physician Owner · (573) 659-5401
NPI enumeratedJune 1, 2005
Last updated in NPPESApril 20, 2008
Mailing address1705 Christy Dr, Ste 100, Jefferson City, MO 65101-5195

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