Physician Surgery Center
Physician Surgery Center is a healthcare organization registered as Certified Registered Nurse Anesthetist in Rolla, MO, holding Type 2 (organization) NPI 1003062100 since 2008. The authorized official on file is Ann Deters, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1003062100 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Physician Surgery Center |
| Practice address | 1500 HWY 72 EAST, Rolla, MO, 65401 |
| Phone | 5734266301 |
| Fax | 5734266304 |
| Enumeration date | 2008-08-08 |
| Last updated in NPPES | 2008-08-13 |
Authorized official
| Name | Ann Deters |
|---|---|
| Title | President |
| Phone | 2173422255 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 367500000X | Certified Registered Nurse Anesthetist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511377 | Other | — | HEALTHLINK |
| 514184 | Other | — | HEALTHLINK |
| 168305 | Other | — | BCBS |
| P00443325 | Other | — | RAILROAD MEDICARE |
Copy-ready billing details
Provider: Physician Surgery Center NPI: 1003062100 Taxonomy: 367500000X (Certified Registered Nurse Anesthetist) Address: 1500 HWY 72 EAST, Rolla, MO, 65401
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1396991337 | Physician Surgery Center | Organization | Multi-Specialty Clinic/Center | Rolla, MO |
Verify this record
Cross-check NPI 1003062100 against the authoritative CMS record: view Physician Surgery Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Physician Surgery Center?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-08-13.