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

Specialty Surgical Services

Organization Surgery Physician · NPI 1164545315

Specialty Surgical Services is a Surgery Physician in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

3115 Falling Leaf Ct
Columbia, MO 65201-3579
Phone: (573) 449-5000
Fax: (573) 449-5010
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MDR7H73 (MO)

Record details

NPI number1164545315
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Concannon — Owner · (573) 449-5000
NPI enumeratedApril 10, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3115 Falling Leaf Ct, Columbia, MO 65201-3579

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