MID COUNTY SURGERY CENTER (NPI# 1053409896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053409896 |
| Entity Type | Organization |
| Organization Name | MID COUNTY SURGERY CENTER |
| Practice Address |
8637 Delmar Blvd Saint Louis MO 63124-1906 |
| Mailing Address |
Po Box 790128 Saint Louis MO 63179-0128 |
| Practice Telephone | 3149830303 |
| Practice Fax Number | 3149832777 |
| Mailing Telephone | 3149830303 |
| Mailing Fax Number | 3149832777 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL H HORWITZ (CEO) |
| Authorized Official Telephone | 3149830303 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
134-2 | MO | Ambulatory Health Care Facilities |
| Street Address |
8637 DELMAR BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63124-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275589038 | Vincent J Staschiak | Podiatrist | 8637 Delmar Blvd, Saint Louis, MO 63124-1906 | 2006-05-25 |
| 1861753543 | Lifewave Technology Group LLC | Nurse Anesthetist, Certified Registered | 8637 Delmar Blvd, Saint Louis, MO 63124-1906 | 2012-05-30 |
| 1316182173 | Ips of St Louis LLC | Anesthesiology | 8637 Delmar Blvd, Saint Louis, MO 63124-1906 | 2008-12-09 |
| 1548484819 | Feet for Life Centers Inc PC | Chiropractor | 8637 Delmar Blvd, Saint Louis, MO 63124-1906 | 2007-04-11 |
| 1689762429 | Michael H Horwitz | Podiatrist | 8637 Delmar Blvd, Saint Louis, MO 63124-1906 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174174775 | Nicholas Simpson | Nurse Practitioner | 8857 Ladue Road, St. Louis, MO 63124 | 2019-09-25 |
| 1144774647 | Carolyn Ashley Myles Versical | Psychologist | 26 Godwin Ln, Saint Louis, MO 63124 | 2016-08-12 |
| 1740669373 | Victor's Home Care Cds, LLC | Hospice Care, Community Based | 8420 Delmar Blvd, Ste 507, St. Louis, MO 63124 | 2015-05-28 |
| 1851784490 | Bryan Watanabe Dds Ladue Dental Group, PC | Dentist | 8859 Ladue Road, Ladue, MO 63124 | 2015-03-06 |
| 1689072324 | Ladue Internal Medicine, LLC | Internal Medicine | 8857 A Ladue Rd., Ladue, MO 63124 | 2014-12-11 |
| 1043557150 | Ronald Nathan Riner | Internal Medicine | 9847 Waterbury Drive, St. Louis, MO 63124 | 2013-01-09 |
| 1295099638 | David Stuart Sonderman | Pediatrics | 8888 Ladue Road, Ste 100, Saint Louis, MO 63124 | 2012-06-29 |
| 1255637799 | Kyu S Her | Pediatrics | 624 Haverford Road, St. Louis, MO 63124 | 2011-02-01 |
| 1194983833 | Roberte Kuhlman | Orthopaedic Surgery | 12 Upper Barnes, St Louis, MO 63124 | 2008-05-29 |
| 1467507673 | Mark William Aylward | Dentist | 9216 Clayton Road, Suite 118, St Louis, MO 63124 | 2007-01-25 |
| Find all providers in zip 63124 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925180 | Metro St Louis Surgery Center LLC | Clinic/Center | 1035 Bellevue Ave Ste 117, Saint Louis, MO 63117-1854 | 2019-01-04 |
| 1295207587 | Commons South Surgery Center, LLC | Clinic/Center | 12345 W Bend Dr Ste 201, Saint Louis, MO 63128-2254 | 2018-12-26 |
| 1922574391 | The Phoenix Oversight and Consulting, LLC. | Clinic/Center | 7746 Rannells Ave, Saint Louis, MO 63143-1823 | 2018-10-23 |
| 1700363611 | Apollo Ambulatory Surgery Center, LLC | Clinic/Center | 10012 Manchester Rd, Saint Louis, MO 63122-1826 | 2018-07-24 |
| 1730698374 | Advanced Surgical Center of Sunset Hills LLC | Clinic/Center | 4594 S Lindbergh Blvd, Saint Louis, MO 63127 | 2017-09-27 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1114317757 | Midamerica Spine Center, LLC | Clinic/Center | 13627 Big Bend Rd, Saint Louis, MO 63122-3915 | 2015-02-04 |
| 1528210770 | South County Outpatient Endoscopy Services, Lp | Clinic/Center | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128 | 2008-10-21 |
| 1376692681 | Healthmark Brentwood LLC | Clinic/Center | 450 N Lindbergh Blvd Ste A, Saint Louis, MO 63141-7848 | 2007-01-09 |
| 1619026952 | Healthmark Ballas LLC | Clinic/Center | 456 N New Ballas Rd Ste 266, Saint Louis, MO 63141-6842 | 2007-01-09 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63124 |
Please comment or provide details below to improve the information on MID COUNTY SURGERY CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.