St. Mary'S Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

156-0 Issued in MO

Legal business name

ST. MARY'S SURGICAL CENTER LLC

Practice address

203 NW R D Mize Rd
Ste 218
Blue Springs, MO 64014-2510

Phone

(816) 874-4181

Fax

(816) 874-4375

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Katherine L Reed

Title

Officer, Authorized Official

Phone

(972) 763-3859

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• St. Mary's Surgical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

St Marys Surgical Center LLCCCN 26C0001094

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

St Mary'S Surgical Center2 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.

• St Mary'S Surgical Center Independence

  • Ambulatory Surgical Clinic/Center
  • Blue Springs, MO
  • NPI 1497736805
  NPD tax ID

Member of 5

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

• Advanced Surgical Associates

  • Surgery Physician
  • Lees Summit, MO
  • NPI 1598913287

  Member Of

  NPD member
• Jackson County Gastroenterology PC

  • Gastroenterology Physician
  • Blue Springs, MO
  • NPI 1386699718

  Member Of

  NPD member
• Orthopedic Surgeons, P.a.

  • Orthopaedic Surgery Physician
  • Kansas City, MO
  • NPI 1023147212

  Member Of

  NPD member
• Prime Healthcare Services Blue Springs, LLC

  • Rehabilitation Hospital Unit
  • Blue Springs, MO
  • NPI 1962809947

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1346249604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 NW R D MIZE RD",
            "address_2": "STE 218",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142510",
            "telephone_number": "816-874-4181",
            "fax_number": "816-874-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 NW R D MIZE RD",
            "address_2": "STE 218",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142510",
            "telephone_number": "816-874-4181",
            "fax_number": "816-874-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2015-04-14",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "156-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00218043",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507521706",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Mary's Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Springs Therapy Services
• St Mary'S Surgical Center Independence
• St. Mary'S Medical Center
• St. Mary'S Medical Center
• St. Mary'S Medical Center
• Stacy Elizabeth Casler
• Terri Kim Stahl, R.PH.
• Brooke Stanford, RBT
• Leah Stanza, AUD
• Ciarra Stapleton, DDS

• Ambulatory Surgical Clinic/Center in Blue Springs, MO
• Providers in Blue Springs, 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 Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.