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Sps Practice Group, LLC

Plastic Surgery Physician in Columbia, MO · enumerated 2022 · authorized official Leslie Shock, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053046888

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Registry record

Entity type Organization (Type 2)
Legal business name Sps Practice Group, LLC
Practice address 3220 Bluff Creek Dr, Columbia, MO, 65201
Phone (573) 690-6129
Enumeration date Jul 17, 2022
Last updated in NPPES Aug 15, 2023

Taxonomy & classification

208200000X Plastic Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Leslie Shock
Title Owner
Phone (573) 224-8200

Other identifiers

Identifier Type State Issuer
1053046888 Other MO NPI

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.

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Frequently asked questions

What is the NPI number for Sps Practice Group, LLC?
The NPI for Sps Practice Group, LLC is 1053046888, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Sps Practice Group, LLC?
NPPES lists Leslie Shock (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-15.