Creve Coeur Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

110-9 Issued in MO

Legal business name

CREVE COEUR SURGERY CENTER, LLC

Practice address

845 N New Ballas CT
Suite 100
Creve Coeur, MO 63141-7134

Phone

(314) 872-7100

NPI assigned

Jan 10, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James P. Emmanuel, MD

Title

Board Member

Phone

(314) 997-1777

Specialties & licenses 1

Addresses

Other names 1

• City Place Surgery Center Doing business as

Listed as

City PL Surgery CenterCCN 26C0001033

Medicare certification status

Terminated Voluntary: merger or closure, Nov 1, 2024From the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St. Lukes Episcopal-Presbyterian Hospital

  • General Acute Care Hospital
  • Chesterfield, MO
  • NPI 1346251543

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glen E Johnson, M.D.

  • Orthopaedic Surgery Physician
  • Creve Coeur, MO
  • NPI 1942224258
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1003110792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 N NEW BALLAS CT",
            "address_2": "SUITE 100",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417134",
            "telephone_number": "314-872-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N NEW BALLAS CT",
            "address_2": "SUITE 100",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417134",
            "telephone_number": "314-872-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREVE COEUR SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "EMMANUEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "314-997-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "110-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Place Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City Place Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Creve Coeur Family Medicine, LLC
• Creve Coeur Fire Protection Dist
• Creve Coeur Internal Medicine, LLC
• Creve Coeur Periodontics, Inc.
• Creve Coeur Surgery Center LLC
• Gail Christine Crofton, R.D., L.D., CDE
• Crossroads Family Chiropractic, LLC
• Chandler Alexander Croutch
• Crown Hospice of St. Louis, Inc.
• Theresa Marie Curdt, OTR

• Ambulatory Surgical Clinic/Center in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Ambulatory Surgical Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.