Surgery Centers of Missouri

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTERS OF MISSOURI

Practice address

12101 Woodcrest Executive Dr Ste 101
Creve Coeur, MO 63141-5047

Phone

(314) 378-2085

Fax

(314) 659-8307

NPI assigned

Jan 27, 2022

Organization subpart

No

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

Authorized official

Name

William Douglas Kula CraggNPI 1548249626

Title

Owner/Ceo

Phone

(314) 695-8933

Specialties & licenses 2

Addresses

Tax ID family

Surgery Centers of Missouri2 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.

• Surgery Centers of Missouri, LLC

  • Ambulatory Surgical Clinic/Center
  • Creve Coeur, MO
  • NPI 1578197927
  NPD tax ID

Practitioners 1

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

• William DK Cragg, D.C.

  • Chiropractor
  • Saint Louis, MO
  • NPI 1548249626
  NPD Authorized official

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1275286643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S. SPOEDE RD.",
            "city": "FRONTENAC",
            "state": "MO",
            "postal_code": "631312610",
            "telephone_number": "314-695-8933",
            "fax_number": "314-659-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 WOODCREST EXECUTIVE DR STE 101",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415047",
            "telephone_number": "314-378-2085",
            "fax_number": "314-659-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTERS OF MISSOURI",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "CRAGG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DOUGLAS KULA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "314-695-8933"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Jo Sullivan
• Sunshine Healthcare, LLC
• Holly E Surber, P.T.
• Surevision Eye Centers Midwest LLC
• Surevision Eye Centers Midwest LLC
• Surgery Centers of Missouri, LLC
• Surgical Center of Creve Coeur
• Brandi Jo Sutter, MPT
• Brianna Swindle, OTR/L
• Thomas J. Sylvester, MD

• 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 Feb 8, 2023; 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.