Kirkwood Ambulatory Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KIRKWOOD AMBULATORY SURGERY CENTER

Practice address

1028 S Kirkwood Rd
Saint Louis, MO 63122-7222

Phone

(636) 534-2300

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles P Neeley Jr.

Title

Regional Director of Operations

Phone

(985) 774-9609

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356415996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 S KIRKWOOD RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631227222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 S KIRKWOOD RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631227222",
            "telephone_number": "636-534-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKWOOD AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEELEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "985-774-9609",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orisia S Kirkpatrick, CRNA
• Summer Ann Kirkpatrick, MD
• Deann Marie Kirksey, COTA L
• Kirksville Medical Imaging, Inc.
• Jerome J Kirkton, CRNA
• Kirkwood Diagnostic & Orthopedic Associates, LLC.
• Kirkwood Medical Group LLC
• Kirkwood Pathology Services Inc
• Nigar Kirmani, MD
• Timothy Gerard Kirn Jr., MPT

• Ambulatory Surgical Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, 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 Aug 22, 2020; 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.