Physician Surgery Center LLC
Physician Surgery Center LLC is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Rolla, MO, holding Type 2 (organization) NPI 1710926589 since 2006. The authorized official on file is Ann Deters, Pres.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710926589 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Physician Surgery Center LLC |
| Practice address | 1500 HIGHWAY 72 EAST, Rolla, MO, 65401 |
| Phone | 5734266301 |
| Fax | 5734266304 |
| Enumeration date | 2006-06-06 |
| Last updated in NPPES | 2009-08-05 |
Authorized official
| Name | Ann Deters |
|---|---|
| Title | Pres |
| Phone | 2173422255 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00443325 | Other | — | RAILROAD MEDICARE |
| 514184 | Other | — | HEALTHLINK |
| 168305 | Other | — | BCBS |
| 511377 | Other | — | HEALTHLINK |
Copy-ready billing details
Provider: Physician Surgery Center LLC NPI: 1710926589 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 1500 HIGHWAY 72 EAST, Rolla, MO, 65401
Verify this record
Cross-check NPI 1710926589 against the authoritative CMS record: view Physician Surgery Center LLC 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 type of organization is Physician Surgery Center LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-08-05.