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Sikeston Surgical Specialist, LLC

Surgery Physician in Sikeston, MO · enumerated 2014 · authorized official Hollis Tidmore, Owner.

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

National Provider Identifier

1386058170

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Registry record

Entity type Organization (Type 2)
Legal business name Sikeston Surgical Specialist, LLC
Practice address 1226 Linn St, Suite B, Sikeston, MO, 63801
Phone (573) 475-8599
Fax (573) 475-8596
Enumeration date Jun 19, 2014
Last updated in NPPES Aug 15, 2014

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 2009005897 (MO) Primary

Authorized official

Name Hollis Tidmore
Title Owner
Phone (573) 475-8599

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

Where is Sikeston Surgical Specialist, LLC located?
The practice location on file with NPPES is in Sikeston, MO.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-08-15. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-08-15.