Arch Neurosurgery, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

2014039596 Issued in MO

Legal business name

ARCH NEUROSURGERY, LLC

Doing business as

Arch Neurosurgery LLC

Practice address

1034 S Brentwood Blvd Ste 754
Saint Louis, MO 63117-1207

Phone

(314) 732-9559

Fax

(833) 244-1845

NPI assigned

Apr 12, 2018

Organization subpart

No

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

Authorized official

Name

Joseph Yazdi, MDNPI 1972500981

Title

President/Owner

Phone

(314) 973-2955

Specialties & licenses 1

Addresses

Other names 1

• Arch Neurosurgery LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Joseph S Yazdi, MD

  • Neurological Surgery Physician
  • Saint Louis, MO
  • NPI 1972500981
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636243200000",
    "number": "1649777954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 754",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171207",
            "telephone_number": "314-973-2955",
            "fax_number": "833-244-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 754",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171207",
            "telephone_number": "314-732-9559",
            "fax_number": "833-244-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCH NEUROSURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2021-11-07",
        "certification_date": "2021-11-07",
        "status": "A",
        "authorized_official_last_name": "YAZDI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "314-973-2955",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "2014039596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arch Neurosurgery LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arch Audiology LLC
• Arch Bariatrics LLC
• Arch City Lab LLC
• Arch Medical Services Inc
• Arch Neurorehab LLC
• Arch Pediatrics LLC
• Arch Primary Care III LLC
• Arch Surgery LLC
• Arch Way in-Home Services, Inc.
• Aaron James Archer, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.