Organization Active NPI

Arch Surgery LLC

  • Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1922426725
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2010017407 Issued in MO
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

Updated by the provider on Feb 22, 2024

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.