SURGERY CENTER OF ST. JOSEPH, LLC (NPI# 1104857523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104857523 |
| Entity Type | Organization |
| Organization Name | SURGERY CENTER OF ST. JOSEPH, LLC |
| Practice Address |
3201 Ashland Ave Saint Joseph MO 64506-1504 |
| Practice Telephone | 8162790079 |
| Practice Fax Number | 8163641100 |
| Mailing Telephone | 8162790079 |
| Mailing Fax Number | 8169010403 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2012-04-05 |
| Authorized Official Name | ANGELA J FRY (CLINIC DIRECTOR) |
| Authorized Official Telephone | 8162790079 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
119-3 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 502343502 | 05 | |
| MO | MEDICARE SUPPLIER | 26C0001012 | 01 |
| Street Address |
3201 ASHLAND AVE |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64506-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706295 | Novamed Surgery Center of St. Joseph, LLC | Clinic/Center | 3201 Ashland Ave, Saint Joseph, MO 64506-1504 | 2005-08-09 |
| 1033398524 | Lacey Renae Dessel | Chiropractor | 3201 Ashland Ave, Suite E, Saint Joseph, MO 64506-1504 | 2007-10-31 |
| 1205870581 | Perfect Sense Eye Center St. Joe, LLC | Ophthalmology | 3201 Ashland Ave, Saint Joseph, MO 64506-1504 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1669086609 | Phuc Vo | Pharmacist | 4022 N Belt Hyw, Saint Joseph, MO 64506 | 2020-09-08 |
| 1104450675 | Hughes Acupuncture LLC | Acupuncturist | 1918 North Belt Highway, St Joseph, MO 64506 | 2020-02-24 |
| 1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
| 1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
| 1366952988 | Annette Burris | Audiologist | 2401 North Woodbine, St. Joseph, MO 64506 | 2017-10-10 |
| 1962927665 | Genuine Senior Care LLC | In Home Supportive Care | 3715 Beck Road, Suite 207b, St. Joseph, MO 64506 | 2017-08-03 |
| 1215396569 | Andrew M Fisher | Counselor | 2400 Frederick Blvd, Suite 407, Saint Joseph, MO 64506 | 2016-02-15 |
| 1699133678 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3320 North Belt Highway, St Joseph, MO 64506 | 2016-02-04 |
| 1598167587 | Quality Hearing and Audiology Center LLC | Audiologist | 2227 North Belt Highway, St. Joseph, MO 64506 | 2014-09-22 |
| Find all providers in zip 64506 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679531263 | Heartland Clinic | Clinic/Center | 901 Heartland Rd, Plaza II Suite 1810, Saint Joseph, MO 64506-6200 | 2006-05-03 |
| 1316906423 | Tobin Eye Institute | Clinic/Center | 3902 Sherman Ave, Saint Joseph, MO 64506-3648 | 2006-03-20 |
| 1992706295 | Novamed Surgery Center of St. Joseph, LLC | Clinic/Center | 3201 Ashland Ave, Saint Joseph, MO 64506-1504 | 2005-08-09 |
| 1417493545 | Lakeland Medical Practices | Clinic/Center | 2990 Niles Rd, Saint Joseph, MI 49085-8607 | 2017-01-12 |
| 1780847350 | Professional Anesthesia Services LLC | Clinic/Center | 2111 N Woodbine Rd, Saint Joseph, MO 64506-2440 | 2008-07-03 |
| 1437259694 | Heartland Regional Medical Center | Clinic/Center | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2006-09-25 |
| 1528091360 | Glec Pllc | Clinic/Center | 3903 Hollywood Rd, Saint Joseph, MI 49085-9149 | 2006-07-07 |
| 1891759569 | St Joseph Center for Outpatient Surgery, LLC | Clinic/Center | 4510 Frederick Ave, Saint Joseph, MO 64506-3238 | 2006-04-12 |
| 1508862996 | Plastic Surgery Center of St Joseph, Inc | Clinic/Center | 2111 N Woodbine Rd, Saint Joseph, MO 64506-2440 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393130 | United Surgical Center, LLC | Clinic/Center | 638 Chamblee Ln, Creve Coeur, MO 63141-7323 | 2020-07-22 |
| 1801443320 | St. Luke's Surgery Center of Chesterfield, LLC | Clinic/Center | 111 St. Luke's Center Drive, Bldg B, Suite 500, Chesterfield, MO 63017-3509 | 2019-08-20 |
| 1255991238 | Lee Summit Asc Kc LLC | Clinic/Center | 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 | 2019-06-20 |
| 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 |
| 1336649565 | Advanced Surgical Care of St. Louis, LLC | Clinic/Center | 232 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 | 2018-02-14 |
| 1730698374 | Advanced Surgical Center of Sunset Hills LLC | Clinic/Center | 4594 S Lindbergh Blvd, Saint Louis, MO 63127 | 2017-09-27 |
| 1093224297 | United Physicians Group, LLC | Clinic/Center | 1100 Town and Country Commons Dr # 7805, Town and Country, MO 63017-8285 | 2017-09-20 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOSEPH |
| Zip Code | 64506 |
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| 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.