NPIMap

Organization Active NPI

Webster Ambulatory Surgery Center LP

  • Ambulatory Surgical Clinic/Center
  • Webster Groves, MO
National Provider Identifier
1235146325
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
202-2 Issued in MO
Legal business name
WEBSTER AMBULATORY SURGERY CENTER LP
Practice address
520 S Elm Ave
Webster Groves, MO 63119-3845
Phone
(314) 962-3464
Fax
(314) 962-0369
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Katherine L Reed
Title
Officer, Authorized Official
Phone
(972) 763-3859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 202-2 MO Primary

Addresses

Primary practice location

520 S Elm Ave
Webster Groves, MO 63119-3845

Mailing address

520 S Elm Ave
Webster Groves, MO 63119-3845
Phone (314) 962-3464

Other names 1

  • Webster Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070501000137 MO Part B Supplier - Ambulatory Surgical Center 6608972161 1 other NPI on this enrollment
Practice locations: Saint Louis, MO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ability Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

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

Locations

520 S Elm Ave
Webster Grvs, MO 63119
Phone (314) 645-4434

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1235146325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S ELM AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631193845",
            "telephone_number": "314-962-3464",
            "fax_number": "314-962-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S ELM AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631193845",
            "telephone_number": "314-962-3464",
            "fax_number": "314-962-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER AMBULATORY SURGERY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICER, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-763-3859"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "202-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Webster Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Webster Groves, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.