SURGERY CENTER PARTNERS. LLC (NPI# 1346292372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346292372 |
| Entity Type | Organization |
| Organization Name | SURGERY CENTER PARTNERS. LLC |
| Other Organization Name | TIMBERLAKE SURGERY CENTER |
| Practice Address |
14825 N Outer 40 Ste 100 Chesterfield MO 63017-2026 |
| Practice Telephone | 6368984695 |
| Practice Fax Number | 6368984700 |
| Mailing Telephone | 6368984695 |
| Mailing Fax Number | 6368984700 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JIM C RAY (ADMINISTRATOR) |
| Authorized Official Telephone | 6368984695 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
146-1 | MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Timberlake Surgery Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SURGERY CENTER PARTNERS, LLC | 61370 Cultus Lake Ct, Bend, OR 97702 |
| Street Address |
14825 N OUTER 40 STE 100 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959479 | George Robert Kletzker | Otolaryngology | 14825 N Outer 40, Suite 310, Chesterfield, MO 63017-2152 | 2005-06-02 |
| 1881840668 | John O. Krause, M.d., LLC | Specialist | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2008-08-13 |
| 1609032655 | Whitney Lyn Nunn | Specialist | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2008-07-30 |
| 1760656607 | Judith Gurley Plastic Surgery, LLC | Plastic Surgery | 14825 N Outer 40, #350, Chesterfield, MO 63017-2152 | 2008-04-22 |
| 1669657714 | The Orthopedic Center of St. Louis | Specialist | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2008-01-08 |
| 1366657751 | Penney Muskopf | Specialist/Technologist, Other | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2007-05-11 |
| 1972633733 | Neurological and Electrodiagnostic Institute of St. Louis Inc. | Psychiatry & Neurology | 14825 N Outer 40, Suite 330, Chesterfield, MO 63017-2152 | 2007-03-07 |
| 1902935588 | Allyson Joggerst | Physician Assistant | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2007-03-02 |
| 1700914983 | Paula Ronzio | Clinical Nurse Specialist | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 | 2007-03-01 |
| 1700911039 | Kim Laux | Registered Nurse | 14825 N Outer 40, Chesterfield, MO 63017-2152 | 2007-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1760694954 | Lisa J Smith | Clinic/Center | 17300 N. Outer 40, Ste 100, Chesterfield, MO 63005 | 2007-05-03 |
| 1659339349 | West County Surgery Center Lp | Clinic/Center | 1130 Town and Country Commons, Chesterfield, MO 63017-8200 | 2006-05-02 |
| 1437512993 | United Skin Specialists Missouri Ltd, PC | Clinic/Center | 1001 Chesterfield Pkwy E, Suite 102, Chesterfield, MO 63017-2167 | 2016-04-01 |
| 1760869093 | Orthopedic Ambulatory Surgery Center of Chesterfield, LLC | Clinic/Center | 14825 North Outer Forty Road, Suite 100, Chesterfield, MO 63017 | 2015-05-06 |
| 1245566744 | Chesterfield Asc, LLC | Clinic/Center | 1001 Chesterfield Pkwy E, Suite 102, Chesterfield, MO 63017-2041 | 2009-10-19 |
| 1417142084 | Mid- America Surgery Center, LLC | Clinic/Center | 1815 Clarkson Road, Chesterfield, MO 63017-5065 | 2007-09-07 |
| 1922144484 | Interventional Pain Center of Chesterfield LLC | Clinic/Center | 17300 N Outer 40, 100, Chesterfield, MO 63005-1364 | 2007-01-30 |
| 1255373601 | Chesterfield Ambulatory Surgery Center Lp | Clinic/Center | 17050 Baxter Rd, Ste 110, Chesterfield, MO 63005-1422 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393130 | United Surgical Center, LLC | Clinic/Center | 638 Chamblee Ln, Creve Coeur, MO 63141-7323 | 2020-07-22 |
| 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 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
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| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.