Active NPI
Arch Surgery LLC
- Surgery Physician
- Saint Louis, MO
National Provider Identifier
1922426725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2010017407
- Legal business name
- ARCH SURGERY LLC
- Practice address
- 12152 Tesson Ferry Rd Ste B
Saint Louis, MO 63128-1779 - Phone
- (314) 690-1527
- NPI assigned
- Mar 31, 2014
- 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
- Kumaran Chinnappan, M.D
- Title
- Owner
- Phone
- (314) 690-1527
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2010017407 | MO | Primary |
Addresses
Primary practice location
12152 Tesson Ferry Rd Ste B
Saint Louis, MO 63128-1779
Mailing address
PO Box 8344
Saint Louis, MO 63132-0344
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708560000000",
"number": "1922426725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8344",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631320344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12152 TESSON FERRY RD STE B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631281779",
"telephone_number": "314-690-1527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARCH SURGERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-31",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A",
"authorized_official_last_name": "CHINNAPPAN",
"authorized_official_first_name": "KUMARAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-690-1527",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MO",
"license": "2010017407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.