Surgical Center of Creve Coeur

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

159-0 Issued in MO

Legal business name

SURGICAL CENTER OF CREVE COEUR

Practice address

633 Emerson Rd
Ste 140
Creve Coeur, MO 63141-6739

Phone

(314) 872-7744

Fax

(314) 810-5296

NPI assigned

Nov 8, 2005

Last updated

Sep 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Harry C Eggleston, M.D.NPI 1912995317

Title

Owner

Phone

(314) 872-7744

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harry C Eggleston, M.D.

  • Ophthalmology Physician
  • Creve Coeur, MO
  • NPI 1912995317
  NPD (past) Authorized official

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1689655631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 EMERSON RD",
            "address_2": "STE 140",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416739",
            "telephone_number": "314-872-7744",
            "fax_number": "314-810-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 EMERSON RD",
            "address_2": "STE 140",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416739",
            "telephone_number": "314-872-7744",
            "fax_number": "314-810-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CENTER OF CREVE COEUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "EGGLESTON",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-872-7744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "159-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly E Surber, P.T.
• Surevision Eye Centers Midwest LLC (SureVision Eye Centers)
• Surevision Eye Centers Midwest LLC (SureVision Optical Shops)
• Surgery Centers of Missouri
• Surgery Centers of Missouri, LLC
• Brandi Jo Sutter, MPT
• Brianna Swindle, OTR/L
• Thomas J. Sylvester, MD
• T and L Home Health Care, LLC
• Arturo Calvo Taca Jr., MD

• Ambulatory Surgical Clinic/Center in Creve Coeur, MO
• Providers in Creve Coeur, 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 5, 2007; 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.