Blue Valley Surgical Associates, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2015020560 Issued in MO

Legal business name

BLUE VALLEY SURGICAL ASSOCIATES, LLC

Practice address

2341 Highway K
Suite 214
O Fallon, MO 63368-8604

Phone

(636) 542-6020

NPI assigned

Jun 30, 2015

Organization subpart

No

Name

Douglas Palzer

Title

Ownwe-Ceo

Phone

(913) 428-4723

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

• Joseph R Conigliaro, BS, DC, FACMUAP

  • Chiropractor
  • Fort Myers, FL
  • NPI 1003896309
  NPD

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2015.

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1275916934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12920 METCALF AVE",
            "address_2": "STE 250",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132699",
            "telephone_number": "913-428-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 HIGHWAY K",
            "address_2": "SUITE 214",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688604",
            "telephone_number": "636-542-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE VALLEY SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "PALZER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNWE-CEO",
        "authorized_official_telephone_number": "913-428-4723"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015020560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Ferando DMD LLC
• Joy Bland, MA
• Jessica D Blanke, PA
• Paige Blankenheim, OD
• Heidi Blaylock, BCBA
• Daniela Blum Morales, MD
• Trina J Blythe, M.D.
• Jeffrey Steven Boberg, D.P.M.
• Kayla Boedeker
• Corey Charles Bolen, MA CCC-SLP

• All providers in O Fallon, MO
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.