NPIMap

Organization Active NPI

Premier Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Bridgeton, MO
National Provider Identifier
1447613344
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PREMIER SURGICAL CENTER LLC
Practice address
3550 McKelvey Rd
Bridgeton, MO 63044-2527
Phone
(314) 218-9655
NPI assigned
Mar 30, 2016
Last updated
Jan 29, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. LOUIS HEART AND VASCULARAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Megan Thomas
Title
Director
Phone
(224) 285-6266

Specialties & licenses 1

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

Addresses

Primary practice location

3550 McKelvey Rd
Bridgeton, MO 63044-2527

Mailing address

11155 Dunn Rd Ste 304E
Saint Louis, MO 63136-6111
Phone (314) 741-0911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180316000572 MO Part B Supplier - Ambulatory Surgical Center 4385906080 Practice locations: Bridgeton, MO

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Premier Surgical Center LLCCCN 26C0001160
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2110959Premier Surgical Center, LLC3550 McKelvey Road, Bridgeton, MO 63044RegistrationOct 31, 2026

National Provider Directory

National Provider Directory
Part of
St Louis Heart Vascular

Member of 1

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

Locations

3550 McKelvey Rd
Bridgeton, MO 63044
Phone 31474109114048

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1447613344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD STE 304E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366111",
            "telephone_number": "314-741-0911",
            "fax_number": "314-741-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 MCKELVEY RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442527",
            "telephone_number": "314-218-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SURGICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LOUIS HEART AND VASCULAR",
        "enumeration_date": "2016-03-30",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "224-285-6266"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.