Active NPI
Crystal Cities Surgery Center
- Ambulatory Surgical Clinic/Center
- Festus, MO
National Provider Identifier
1780797910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CRYSTAL CITIES SURGERY CENTER
- Doing business as
- Twin Cities Surgery Center
- Practice address
- 1101 West Gannon Drive
Festus, MO 63028 - Phone
- (314) 640-5539
- NPI assigned
- Aug 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sheryl Lynne Rosen, RN
- Title
- Coordinator
- Phone
- (314) 941-0281
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1101 West Gannon Drive
Festus, MO 63028
Mailing address
21 Haven View Dr
Saint Louis, MO 63141-7902
Phone (314) 941-0281
Other names 1
- Twin Cities Surgery Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780797910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HAVEN VIEW DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417902",
"telephone_number": "314-941-0281",
"fax_number": "314-432-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 WEST GANNON DRIVE",
"city": "FESTUS",
"state": "MO",
"postal_code": "63028",
"telephone_number": "314-640-5539"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRYSTAL CITIES SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROSEN",
"authorized_official_first_name": "SHERYL",
"authorized_official_middle_name": "LYNNE",
"authorized_official_title_or_position": "COORDINATOR",
"authorized_official_telephone_number": "314-941-0281",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Twin Cities Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Festus, MO
- Heather Marie Counts
- County of Jefferson Reorganized School District R-7
- Matthew James Crisp, M.D., PH.D.
- Critical Care Pulmonary & Sleep Medicine Assoc LLC
- Tamra Lynn Crouch, FNP
- Crystal City Foot & Ankle Care PC
- Crystal City Pulmonary Critical Care & Sleep Medicine
- Crystal Oaks Long Term Care
- Crystal Oaks Nursing and Rehab LLC
- Crystal Oaks Nursing and Rehab LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.