Active NPI
Cutting Edge Surgical Services, LLC
- Surgical Physician Assistant
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- CUTTING EDGE SURGICAL SERVICES, LLC
- Practice address
- 2840 Clark Ave
Saint Louis, MO 63103-2506 - Phone
- (214) 227-2457
- NPI assigned
- Oct 17, 2024
- Last updated
- Jun 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Thacker
- Title
- Rnfa
- Phone
- (214) 227-2457
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | NU | Primary |
Addresses
Primary practice location
2840 Clark Ave
Saint Louis, MO 63103-2506
Mailing address
2796 Kings Crossing Dr
Barnhart, MO 63012-1174
Phone (214) 227-2457
National Provider Directory
National Provider Directory- Tax ID family
- Cutting Edge Surgical Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Care Agency
- Barnhart, MO
- NPI 1083432678
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Nurse First Assistant
- Barnhart, MO
- NPI 1154106938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782432000000",
"number": "1063233583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2796 KINGS CROSSING DR",
"city": "BARNHART",
"state": "MO",
"postal_code": "630121174",
"telephone_number": "214-227-2457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2840 CLARK AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631032506",
"telephone_number": "214-227-2457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUTTING EDGE SURGICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-17",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A",
"authorized_official_last_name": "THACKER",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "RNFA",
"authorized_official_telephone_number": "214-227-2457"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.