Active NPI
Chesterfield Spine Center, LLC
Doing business as St. Louis Spine and Orthopedic Surgery Center
- Ambulatory Surgical Clinic/Center
- Town and Country, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CHESTERFIELD SPINE CENTER, LLC
- Doing business as
- St. Louis Spine and Orthopedic Surgery Center
- Practice address
- 1130 Town and Country Commons Dr
Town and Country, MO 63017-8200 - Phone
- (636) 256-0320
- Fax
- (636) 256-0327
- NPI assigned
- May 31, 2007
- Last updated
- Jan 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Baldock
- Title
- Officer and Authorized Official
- Phone
- (615) 234-5954
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1130 Town and Country Commons Dr
Town and Country, MO 63017-8200
Mailing address
1130 Town and Country Commons Dr
Town and Country, MO 63017-8200
Phone (636) 256-0320
Other names 1
- St. Louis Spine and Orthopedic Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071024000474 | MO | Part B Supplier - Ambulatory Surgical Center | 8820185747 | Practice locations: Town and Country, MO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1457552846. Details of each certification follow.
Hospital certification: CCN 260232
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- ST LOUIS SPINE AND OTHOPEDIC SURGERY CENTER
- Certification status
- Terminated Voluntary: merger or closure, Dec 31, 2022
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Mar 4, 2021
- Last certification
- Mar 4, 2021
- Beds
- 1
- Ownership / control type
- Private (for profit)
- Facility address
- 1130 Town and Country Commons Drive
Town and Country, MO 63017
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- St Louis Spine and Orthopedic Surgery Ctr
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D1073911 | St Louis Spine and Orthopedic Surgery Center | Certificate of waiver | Sep 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
1130 Town and Country Crossing Dr
Twn and Cntry, MO 63017
Phone (636) 394-0698
40 Burton Hills Blvd
Ste 500
Nashville, TN 37215
Practitioners & affiliated clinicians
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.
-
- Orthopaedic Surgery of the Spine Physician
- Saint Louis, MO
- NPI 1710976394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769644800000",
"number": "1457552846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 TOWN AND COUNTRY COMMONS DR",
"city": "TOWN AND COUNTRY",
"state": "MO",
"postal_code": "630178200",
"telephone_number": "636-256-0320",
"fax_number": "636-256-0327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 TOWN AND COUNTRY COMMONS DR",
"city": "TOWN AND COUNTRY",
"state": "MO",
"postal_code": "630178200",
"telephone_number": "636-256-0320",
"fax_number": "636-256-0327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESTERFIELD SPINE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-31",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A",
"authorized_official_last_name": "BALDOCK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-234-5954"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Louis Spine and Orthopedic Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "St. Louis Spine and Orthopedic Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Town and Country, MO
- Brittany Caputo, OD
- Kimberly Dawn Carnal, RN
- Kristen Carothers, MSW
- Cedar Grove Counseling, LLC
- Center for Surgical Excellence, LLC
- Chiro One Wellness Center of Town and Country LLC
- Christopher T. Labonte MD LLC (LaBonte Medical Group)
- Clayton Road Healthcare LLC (Athene Nursing and Rehabilitation)
- Lora Pearlman Collier, M.D.
- Cotton Babies, Inc.
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; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.