Organization Active NPI

Webster Ambulatory Sugery Center LP

  • Ambulatory Surgical Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1427422799
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WEBSTER AMBULATORY SUGERY CENTER LP
Doing business as
Sunset Hills Surgery Center
Practice address
12399 Gravois Rd
Suite 102
Saint Louis, MO 63127-1750
Phone
(314) 729-0100
Fax
(314) 729-0168
NPI assigned
Nov 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Jenetha D Moran
Title
Authorized Official
Phone
(972) 763-3893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

12399 Gravois Rd
Suite 102
Saint Louis, MO 63127-1750

Mailing address

12399 Gravois Rd
Suite 102
Saint Louis, MO 63127-1750
Phone (314) 729-0100

Other identifiers 1

IdentifierTypeStateIssuer
270-0OtherMOSTATE LICENSE

Other names 1

  • Sunset Hills Surgery Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1427422799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12399 GRAVOIS RD",
            "address_2": "SUITE 102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271750",
            "telephone_number": "314-729-0100",
            "fax_number": "314-729-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12399 GRAVOIS RD",
            "address_2": "SUITE 102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271750",
            "telephone_number": "314-729-0100",
            "fax_number": "314-729-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER AMBULATORY SUGERY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JENETHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-763-3893"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "270-0",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset Hills Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.