St. Louis Surgical Center, LC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

151-1 Issued in MO

Legal business name

ST. LOUIS SURGICAL CENTER, LC

Practice address

760 Office Pkwy
Creve Coeur, MO 63141-7105

Phone

(314) 995-4700

Fax

(314) 995-4701

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Jenetha D Moran

Title

Authorized Official

Phone

(972) 763-3893

Specialties & licenses 1

Addresses

Other names 1

• St. Louis Surgical Center Other name

Member of 4

Organizations this organization is a member of, according to the National Provider Directory.

• Mercy Hospitals East Communities

  • Clinic/Center
  • Saint Louis, MO
  • NPI 1851431738

  Member Of

  NPD member
• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253

  Member Of

  NPD member
• Clarkson Optometry Illinois, P.C.

  • Optometrist
  • Godfrey, IL
  • NPI 1851679625

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

Locations

Practitioners 1

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

• Gary M Wasserman, MD

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
  • NPI 1740382746
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1740245901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 OFFICE PKWY",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417105",
            "telephone_number": "314-995-4700",
            "fax_number": "314-995-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 OFFICE PKWY",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417105",
            "telephone_number": "314-995-4700",
            "fax_number": "314-995-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS SURGICAL CENTER, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JENETHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-763-3893"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "151-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Louis Surgical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 Oct 31, 2017; 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.