The Ambulatory Surgical Center of St. Louis, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

187-3 Issued in MO

Legal business name

THE AMBULATORY SURGICAL CENTER OF ST. LOUIS, LP

Doing business as

The Surgical Center of St. Louis

Practice address

12184 Natural Bridge Road
Bridgeton, MO 63044-2017

Phone

(314) 739-0126

Fax

(314) 739-0790

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Katherine L. Reed

Title

Authorized Official, Officer-Asst.

Phone

(972) 763-3859

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Surgical Center of St. Louis Doing business as

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1619993425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12184 NATURAL BRIDGE ROAD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442017",
            "telephone_number": "314-739-0126",
            "fax_number": "314-739-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12184 NATURAL BRIDGE ROAD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442017",
            "telephone_number": "314-739-0126",
            "fax_number": "314-739-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AMBULATORY SURGICAL CENTER OF ST. LOUIS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL, OFFICER-ASST.",
        "authorized_official_telephone_number": "972-763-3859"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "187-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509373700",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Surgical Center of St. Louis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa K. Tenhouse, MSW
• Clarice Tennessen-Jensen, PHARMD
• Durwood Alan Tenny, OTR/L
• Sally Terranova, LMSW
• Terry Egan DDS LLC
• The Doretha Buie Center, LLC
• David A Theodoro, M.D.
• Kristi Lynn Theriot, LPC
• Thomas Gotsis DDS PC
• Jamika Thomas

• Ambulatory Surgical Clinic/Center in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Ambulatory Surgical Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.