Wentzville Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WENTZVILLE SURGERY CENTER LLC

Practice address

982 Wentzville Pkwy
Wentzville, MO 63385-3695

Phone

(314) 560-5069

NPI assigned

Mar 10, 2021

Organization subpart

No

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

Authorized official

Name

Angela Ehlers

Title

Administrator

Phone

(314) 560-5069

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

Wentzville Surgery Center LLCCCN 26C0001175

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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy D. Farley, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Saint Louis, MO
  • NPI 1881673788
  NPD
• David Jonathan King, M.D.

  • Orthopaedic Surgery Physician
  • Creve Coeur, MO
  • NPI 1659484715
  NPD

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1356926414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 EMERSON RD STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416739",
            "telephone_number": "314-560-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 WENTZVILLE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853695",
            "telephone_number": "314-560-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENTZVILLE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "EHLERS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-560-5069"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wentzville Imaging Center, LLC
• Wentzville Orthodontics
• Wentzville Pediatric Dentistry, LLC
• Wentzville R-IV School District
• Wentzville School District
• Wentzville Wellness Center D.C., P.C.
• Caeli Regina Werner, CPM
• Wesling Health Consultants, LLC
• Daniel P Wesling, DC
• Kimberly Ann West

• Ambulatory Surgical Clinic/Center in Wentzville, MO
• Providers in Wentzville, 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 Mar 10, 2021; 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.