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
-
David B Robson, MD
Medicare Care Compare: Ambulatory surgical center
- Listed as
- St Louis Spine and Orthopedic Surgery Ctr
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D1073911 | St Louis Spine and Orthopedic Surgery Center | Certificate of waiver | Sep 18, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other providers in Town and Country, MO
- Brittany Caputo
- Kimberly Dawn Carnal
- Kristen Carothers
- Cedar Grove Counseling, LLC
- Center for Surgical Excellence, LLC
- Chiro One Wellness Center of Town and Country LLC
- Christopher T. Labonte MD LLC
- Clayton Road Healthcare LLC
- Lora Pearlman Collier
- Cotton Babies, Inc.
All providers in Town and Country, MO · Ambulatory Surgical Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.