Chesterfield Spine Center, LLC

Organization Active NPI Ambulatory Surgical Clinic/Center · Town and Country, MO

NPI 1457552846 · NPPES record last updated Jan 29, 2026

Key facts

NPI
1457552846
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
CHESTERFIELD SPINE CENTER, LLC
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
Organization subpart
No

Authorized official

Name
Jennifer Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5954

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare Care Compare: Ambulatory surgical center

Listed as
St Louis Spine and Orthopedic Surgery Ctr CCN 26C0001133
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1073911St Louis Spine and Orthopedic Surgery Center
1130 Town and Country Commons Dr, Town and Country, MO 63017
Certificate of waiverSep 18, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20071024000474 MO Part B Supplier - Ambulatory Surgical Center 8820185747 Practice locations: Town and Country, MO

National Provider Directory

Locations

1130 Town and Country Commons Dr
Twn and Cntry, MO 63017
Phone (636) 256-0320

1130 Town and Country Crossing Dr
Twn and Cntry, MO 63017
Phone (636) 394-0698

Specialties & licenses

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

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

  • St. Louis Spine and Orthopedic Surgery Center Doing business as

Other providers in Town and Country, MO

All providers in Town and Country, MO · Ambulatory Surgical Clinic/Center in Missouri

Sources for this page

Verify at the official NPI Registry.