St. Louis Surgical Group, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ST. LOUIS SURGICAL GROUP, LLC

Practice address

253 Chesterfield Industrial Blvd
Chesterfield, MO 63005-1201

Phone

(636) 735-3577

NPI assigned

Apr 22, 2021

Organization subpart

No

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

Authorized official

Name

Josh Adams, DC

Title

Co-Owner

Phone

(636) 735-3577

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 2

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

• Stephanie L Adams, PHARMD

  • Pharmacist
  • Weldon Spring, MO
  • NPI 1962194241
  NPD
• Abigail Lipsitz, AGPCNP-C

  • Primary Care Nurse Practitioner
  • Chesterfield, MO
  • NPI 1306407903
  NPD (past)

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1013599760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 CHESTERFIELD INDUSTRIAL BLVD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051201",
            "telephone_number": "636-735-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 CHESTERFIELD INDUSTRIAL BLVD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051201",
            "telephone_number": "636-735-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS SURGICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "636-735-3577",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477617025",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "josh.adams@primehealthcenters.com",
            "affiliation": "N",
            "address_1": "253 Chesterfield Industrial Blvd",
            "city": "Chesterfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630051201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• St. Louis Eye Institute, PC
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• St. Louis Laser & Vein Center
• St. Louis Optimal Performance, LLC
• St. Louis Physical Therapy, LLC
• St. Luke'S Aco, LLC
• St. Luke'S Breast Care Center
• St. Luke'S Episcopal Presbyterian Hospital
• St. Luke'S Hospital-Department of Pediatrics
• St. Luke'S Physicians/Hospital Organization of St. Louis, Inc.

• Surgery Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.