| Auburn Surgery Center Inc. | |
|
300 S Mount Auburn Rd Ste 200 Cape Girardeau MO 63703-4920 | |
| (573) 651-4488 | |
| (573) 651-4432 |
| Full Name | Auburn Surgery Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 S Mount Auburn Rd, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Gregory A Tobin (PRESIDENT) |
| Authorized Official Contact | 5736514488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Auburn Surgery Center Inc. Po Box 70 Cape Girardeau MO 63702-0070 Ph: (573) 332-7881 | Auburn Surgery Center Inc. 300 S Mount Auburn Rd Ste 200 Cape Girardeau MO 63703-4920 Ph: (573) 651-4488 |
| NPI Number | 1265431670 |
|---|---|
| Provider Enumeration Date | 07/18/2005 |
| Last Update Date | 09/22/2017 |
| Medicare PECOS PAC ID | 2961567854 |
|---|---|
| Medicare Enrollment ID | O20090209000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265431670 | NPI | - | NPPES |
| 503861502 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 113.2 (Missouri) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
| Provider Name | Charles H. Goshen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750593927 PECOS PAC ID: 6901852581 Enrollment ID: I20051117000570 |
| Provider Name | Tressa H Neely |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568603355 PECOS PAC ID: 6305994872 Enrollment ID: I20090511000577 |
| Provider Name | Nicole R Hazelwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558504076 PECOS PAC ID: 4688726383 Enrollment ID: I20090709000776 |
| Provider Name | Darla K Pobst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184747545 PECOS PAC ID: 1951448042 Enrollment ID: I20091022000010 |
| Provider Name | Joseph K Essmyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598841876 PECOS PAC ID: 6406015338 Enrollment ID: I20120312000697 |
| Provider Name | Tong Zhu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184853152 PECOS PAC ID: 8022243740 Enrollment ID: I20151027001616 |
Johns Healthcare Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Independence St Ste A, Cape Girardeau, MO 63703 Phone: 573-304-3143 Fax: 573-334-0493 | |
Cross Trails Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2430 Golden Street, Cape Girardeau, MO 63703 Phone: 573-339-1196 Fax: 573-339-9378 | |
Auburn Surgery Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S Mount Auburn Rd, Ste 200, Cape Girardeau, MO 63703 Phone: 573-332-7881 Fax: 573-651-4431 | |
Midtown Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 N Sprigg St, Cape Girardeau, MO 63701 Phone: 573-332-7992 Fax: 573-332-7998 | |
Kenneth A Decoursey, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1723 Broadway St, Suite 120, Cape Girardeau, MO 63701 Phone: 573-334-7194 Fax: 573-334-4937 | |
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