Outpatient Surgery Services

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

OUTPATIENT SURGERY SERVICES

Practice address

830 Waterbury Falls Dr
O Fallon, MO 63368-2215

Phone

(636) 730-3000

Fax

(636) 730-3010

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anthony E Sudekum, M.D.

Title

Physician

Phone

(636) 730-3000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1710009550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 WATERBURY FALLS DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633682215",
            "telephone_number": "636-730-3000",
            "fax_number": "636-730-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 WATERBURY FALLS DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633682215",
            "telephone_number": "636-730-3000",
            "fax_number": "636-730-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT SURGERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "SUDEKUM",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "636-730-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyse Marie Ortega, FNP-C, AGACNP, RN
• Jenna Osseck, O.D.
• Alison H Oswald, MD
• Macie Oswald, RD, RDN
• Raymond James Ottomeyer III, D.C.
• Casey Lyn Overton, R.N., D.C.
• Danielle Elizabeth Overton, M.S., CCC-SLP
• Theresa Ann Owens, COTA
• Elizabeth Pacheco
• Paden John Family Dental LLC

• Surgery Physician in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.