Surgery Center Partners. LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

146-1 Issued in MO

Legal business name

SURGERY CENTER PARTNERS. LLC

Practice address

14825 N Outer 40
Ste 100
Chesterfield, MO 63017-2026

Phone

(636) 898-4695

Fax

(636) 898-4700

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5954

Specialties & licenses 1

Addresses

Other names 1

• Timberlake Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

Timberlake Surgery CenterCCN 26C0001071

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

Locations

Practitioners 1

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

• Mark D Miller, M.D.

  • Specialist
  • Chesterfield, MO
  • NPI 1942486055
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1346292372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14825 N OUTER 40",
            "address_2": "STE 100",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172026",
            "telephone_number": "636-898-4695",
            "fax_number": "636-898-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14825 N OUTER 40",
            "address_2": "STE 100",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172026",
            "telephone_number": "636-898-4695",
            "fax_number": "636-898-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER PARTNERS. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "146-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timberlake Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Timberlake Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Sun, MD
• Sunbelt Hospitalists, PA
• Sharon S Sung, MD
• Rekha Sunil
• Sunrise Third (Pool1),LLC
• Shawna Jo Surman, FNP
• Lori Lynn Suthar, OT
• Manish Suthar, MD
• Kirsten Sutterer
• Star Lynn Sutton, COTA/L

• Ambulatory Surgical Clinic/Center in Chesterfield, MO
• Providers in Chesterfield, 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 Nov 2, 2022; 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.