Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sikeston Surgical Specialist, LLC

Organization Surgery Physician · NPI 1386058170

Sikeston Surgical Specialist, LLC provides Surgery Physician services in Sikeston, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1226 Linn St Ste B
Sikeston, MO 63801-5200 Not confirmed with CMS for 12 years — call before visiting
Phone: (573) 475-8599
Fax: (573) 475-8596
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2009005897 (MO)

Record details

NPI number1386058170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hollis Tidmore — Owner · (573) 475-8599
NPI enumeratedJune 19, 2014
Last updated in NPPESAugust 15, 2014
Mailing address1226 Linn St, Suite B, Sikeston, MO 63801-5200

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