Surgery Specialist of St. Louis

Primary specialty

Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X

License

MD119584 Issued in MO

Legal business name

SURGERY SPECIALIST OF ST. LOUIS

Practice address

1035 Bellevue Ave
Suite 203
Saint Louis, MO 63117-1854

Phone

(314) 644-5150

Fax

(314) 644-5156

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Francis A Dysarz III, M.D.NPI 1245219484

Title

M.D.

Phone

(314) 644-5150

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Metro St Louis Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Saint Louis, MO
  • NPI 1467925180
  NPPES parent name

Practitioners 1

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

• Francis A Dysarz III, M. D.

  • Surgery Physician
  • Saint Louis, MO
  • NPI 1245219484
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801099841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 BELLEVUE AVE",
            "address_2": "SUITE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171854",
            "telephone_number": "314-644-5150",
            "fax_number": "314-644-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 BELLEVUE AVE",
            "address_2": "SUITE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171854",
            "telephone_number": "314-644-5150",
            "fax_number": "314-644-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY SPECIALIST OF ST. LOUIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DYSARZ",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "314-644-5150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": "MO",
            "license": "MD119584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aditya Krishna Suresh, MD
• Lynn C Suresh, CPNP-AC
• Rama Suresh, MD
• Vanessa Vogel Suresh, MS, CCC-SLP
• Connor Surgeon
• Surgery Specialists of Missouri LLC
• Surgical Care Foundation
• Surgical Diagnostics & Therapy LLC
• Jagdish Suri, M.D.
• Jill Christine Surmeier, DPT

• Surgery of the Hand (Surgery) Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Surgery of the Hand (Surgery) Physician in Missouri

• 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.
• 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.