Organization Active NPI

Crystal Cities Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Festus, MO
National Provider Identifier
1780797910
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.