Frontenac Ambulatory Surgery & Spine Care Center LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

208-0 Issued in MO

Legal business name

FRONTENAC AMBULATORY SURGERY & SPINE CARE CENTER LP

Doing business as

Frontenac Surgery & Spine Care Center

Practice address

10435 Clayton Rd
Ste 110
Frontenac, MO 63131-2930

Phone

(314) 995-3990

Fax

(314) 995-8520

NPI assigned

Jun 6, 2006

Last updated

Sep 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Hartshorn

Title

Officer, Authorized Official

Phone

(314) 800-2017

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Frontenac Surgery & Spine Care Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

Frontenac Ambulatory Surgery and Spine Care Center LP Dba Frontenac Surgery and Spine Care CenterCCN 26C0001112

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

Member of 2

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

• Baylor University Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1518967231

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  dba Baptist Health System

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

  Member Of

  NPD member

Practitioners 1

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.

• Todd James Stewart, MD

  • Neurological Surgery Physician
  • Saint Louis, MO
  • NPI 1396763728
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1396784252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10435 CLAYTON RD",
            "address_2": "STE 110",
            "city": "FRONTENAC",
            "state": "MO",
            "postal_code": "631312930",
            "telephone_number": "314-995-3990",
            "fax_number": "314-995-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 CLAYTON RD",
            "address_2": "STE 110",
            "city": "FRONTENAC",
            "state": "MO",
            "postal_code": "631312930",
            "telephone_number": "314-995-3990",
            "fax_number": "314-995-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTENAC AMBULATORY SURGERY & SPINE CARE CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "HARTSHORN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OFFICER, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "314-800-2017"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "208-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00447882",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501391700",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Frontenac Surgery & Spine Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Frontenac Surgery & Spine Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Brusca, DPT
• City of Frontenac (Frontenac Fire Department)
• Trenton Parker Civello, DC
• Donald Respess, PSYD, LLC
• Ashley Kell Frederic, FNP-BC
• Gateway Pain Center Inc (Injury Specialists)
• Darcy Greenberg
• Mark Louis Greenberg, M.D.
• Danielle Marie Hargate, ATC
• Ellie Huff, RD, LD, CSCS

• Ambulatory Surgical Clinic/Center in Frontenac, MO
• Providers in Frontenac, 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 Sep 5, 2024; 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.