Mid Rivers Ambulatory Surgery Center LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

175 Issued in MO

Legal business name

MID RIVERS AMBULATORY SURGERY CENTER LP

Doing business as

Mid Rivers Surgery Center

Practice address

5401 Veterans Memorial Pkwy
Ste 100
Saint Peters, MO 63376-1680

Phone

(636) 441-0906

Fax

(636) 928-9288

NPI assigned

May 24, 2005

Last updated

Oct 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Hartshorn

Title

Officer/Ao

Phone

(314) 800-2017

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mid Rivers Surgery Center Doing business as

Electronic endpoints 1

Listed as

Mid Rivers Surgery CenterCCN 26C0001080

Medicare certification status

Terminated Voluntary: merger or closure, Mar 2, 2024From the Provider of Services file

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Western Anesthesiology Associates, Inc.

  dba Western Anesthesiology Pain Management

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1275646754

  Member Of

  NPD member
• Baylor University Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1518967231

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  dba Baptist Health System

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Bell, DO

  • Facial Plastic Surgery Physician
  • Saint Louis, MO
  • NPI 1629450937
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1962405803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 VETERANS MEMORIAL PKWY",
            "address_2": "STE 100",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761680",
            "telephone_number": "636-441-0906",
            "fax_number": "636-928-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 VETERANS MEMORIAL PKWY",
            "address_2": "STE 100",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761680",
            "telephone_number": "636-441-0906",
            "fax_number": "636-928-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID RIVERS AMBULATORY SURGERY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "HARTSHORN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OFFICER/AO",
        "authorized_official_telephone_number": "314-800-2017"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509262606",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mid Rivers Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Molly Meyer
• Renee Meyer, DPT
• Jerry R Meyers, MD
• Michael T. Heiland D.D.S., P.C. (Discovery Dental Centers)
• Michele Roberts, LLC
• Mid-Mo O&P LLC (Advanced O&P)
• Midwest ENT Centre, PC
• Midwest Nephrology Associates Inc
• Lauren Milburn
• Millennium Manor Adult Day Center LLC

• Ambulatory Surgical Clinic/Center in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Ambulatory Surgical Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.