Organization Active NPI

Ballas Outpatient Surgery Center LP

  • Ambulatory Surgical Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1114989589
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BALLAS OUTPATIENT SURGERY CENTER LP
Practice address
450 N New Ballas Rd
Ste 103
Saint Louis, MO 63141-6835
Phone
(314) 991-0776
NPI assigned
Apr 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Richard L Sharff Jr.
Title
VP/Secreatary
Phone
(205) 545-2572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

450 N New Ballas Rd
Ste 103
Saint Louis, MO 63141-6835

Mailing address

450 N New Ballas Rd
Ste 103
Saint Louis, MO 63141-6835

Other identifiers 1

IdentifierTypeStateIssuer
507697704MedicaidMO

Other names 1

  • HEALTHSOUTH BALLAS OUTPATIENT SURGERY CENTER, L.P. Former legal business name

National Provider Directory

National Provider Directory

Locations

9320 Willowgrove Ave
Ste L
Santee, CA 92071

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1114989589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N NEW BALLAS RD",
            "address_2": "STE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N NEW BALLAS RD",
            "address_2": "STE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416835",
            "telephone_number": "314-991-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLAS OUTPATIENT SURGERY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "SHARFF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP/SECREATARY",
        "authorized_official_telephone_number": "205-545-2572",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507697704",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHSOUTH BALLAS OUTPATIENT SURGERY CENTER, L.P.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 28, 2009; 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.