Neurosurgical Associates of St Louis LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

NEUROSURGICAL ASSOCIATES OF ST LOUIS LLC

Practice address

112 Piper Hill Dr Ste 12
Saint Peters, MO 63376-1690

Phone

(888) 828-8608

NPI assigned

Feb 8, 2022

Organization subpart

No

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

Authorized official

Name

Michael Polinsky, MDNPI 1134183205

Title

Owner

Phone

(888) 828-8608

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 7

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.

• Michael N Polinsky, M.D.

  • Neurological Surgery Physician
  • Saint Peters, MO
  • NPI 1134183205

  IL

  Medicare reassignment Authorized official
• Mandy Elizabeth Bettenhausen, AGNP

  • Gerontology Nurse Practitioner
  • Saint Louis, MO
  • NPI 1295254266

  IL

  Medicare reassignment
• Scott H Purvines, M.D.

  • Neurological Surgery Physician
  • Chesterfield, MO
  • NPI 1669436739

  IL

  Medicare reassignment
• Joann M Wilson, AGNP

  • Adult Health Nurse Practitioner
  • Saint Louis, MO
  • NPI 1073762308

  IL

  Medicare reassignment
• Sarah Jost Fouke, MD

  • Neurological Surgery Physician
  • O'Fallon, IL
  • NPI 1154433712
  Medicare reassignment
• Stephen J Johans, M.D.

  • Neurological Surgery Physician
  • O'Fallon, IL
  • NPI 1013273580
  Medicare reassignment
• Sarah S Travers, MD

  • Neurological Surgery Physician
  • Saint Louis, MO
  • NPI 1699193748

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1720732852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SAINT ELIZABETH BLVD STE 3900",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691282",
            "telephone_number": "888-828-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PIPER HILL DR STE 12",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761690",
            "telephone_number": "888-828-8608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Veterans Memorial Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633763429",
            "country_code": "US",
            "telephone_number": "888-828-8608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Saint Elizabeth Blvd Ste 3900",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622691282",
            "country_code": "US",
            "telephone_number": "888-828-8608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROSURGICAL ASSOCIATES OF ST LOUIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "POLINSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-828-8608",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiley Neichter, MOTR/L
• Catherine Neier, NP
• Alfred Dennyson Nelson, MD
• Kristina M Nelson, AGNP
• Nephrology Medical Associates of Georgia LLC (DaVita Nephrology Partners)
• Never Alone Health Services LLC
• New Day Psychiatric Services
• Scott David Newlin, D.M.D.,M.S.,P.C
• Abigail Newsom, D.C.
• Natalie Colleen Newton, M.EDU., LPC

• Neurological Surgery Physician in Saint Peters, MO
• Providers in Saint Peters, 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 Jun 16, 2022; 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.