Novamed Surgery Center of St Peters LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

197-0 Issued in MO

Legal business name

NOVAMED SURGERY CENTER OF ST PETERS LLC

Doing business as

St Peters Ambulatory Surgery Center
St. Peters Surgery Center

Practice address

114 Piper Hill Dr
Suite 101
Saint Peters, MO 63376-1661

Phone

(636) 928-1670

Fax

(636) 928-3792

NPI assigned

Oct 16, 2006

Last updated

Mar 4, 2022By 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

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5935

Specialties & licenses 1

Addresses

Other names 2

• St Peters Ambulatory Surgery Center Doing business as
• St. Peters Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

St Peters ASCCCN 26C0001052

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Novamed Management Services LLC

  dba Atlanta Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1992708929

  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, and the practitioner matching its NPPES authorized official.

• John Michael Conoyer, M.D.

  • Otolaryngology Physician
  • Saint Peters, MO
  • NPI 1295750586
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1780764829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 PIPER HILL DR",
            "address_2": "SUITE 101",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761661",
            "telephone_number": "636-928-1670",
            "fax_number": "636-928-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 PIPER HILL DR",
            "address_2": "SUITE 101",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761661",
            "telephone_number": "636-928-1670",
            "fax_number": "636-928-3792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 Executive Centre Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633763394",
            "country_code": "US",
            "telephone_number": "636-928-1670",
            "fax_number": "636-489-0654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVAMED SURGERY CENTER OF ST PETERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5935"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "197-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Peters Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Peters Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Peters Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Rose Nolan, M.A., P.L.P.C
• Heather Nolting
• Lori A Norby, M.S., CCC-A, FAAA
• Julia North, DC
• Karen Noss
• Nu-Crown, LLC (Crown Otpical)
• Pariss Nunn, RBT
• Nurses & Company Health Care Services Inc (Nurses & Company Hospice Care)
• Nurses & Company Inc (Nurses & Company Home Health Care)
• Nurses & Company Private Services, Inc.

• Ambulatory Surgical Clinic/Center in Saint Peters, MO
• Providers in Saint Peters, 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 Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.