Smith Surgical Services, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SMITH SURGICAL SERVICES, LLC

Practice address

12348 Old Tesson Rd
Suite 180
Saint Louis, MO 63128-2215

Phone

(314) 842-6183

Fax

(314) 842-6184

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth G. Smith, M.D.

Title

Physician

Phone

(314) 842-6183

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497854533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12348 OLD TESSON RD",
            "address_2": "SUITE 180",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282215",
            "telephone_number": "314-842-6183",
            "fax_number": "314-842-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12348 OLD TESSON RD",
            "address_2": "SUITE 180",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282215",
            "telephone_number": "314-842-6183",
            "fax_number": "314-842-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH SURGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "314-842-6183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Robert Smiley, M.D.
• Smith Restorative Dentistry
• Jesse Leah Smith-Appelson, LCSW
• Chloe Ciarra Smith-Ferguson, MSW, LCSW
• Rafaella Smith-Fiallo
• Sun Smith-Foret
• Adriane Smith

• Surgery Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.