SURGERY SPECIALISTS OF MISSOURI LLC (NPI# 1487811873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487811873 |
Entity Type | Organization |
Organization Name | SURGERY SPECIALISTS OF MISSOURI LLC |
Practice Address |
10007 Kennerly Rd Suite A Saint Louis MO 63128-2179 |
Mailing Address |
Po Box 29255 Saint Louis MO 63126-0255 |
Practice Telephone | 3147767112 |
Practice Fax Number | 3147767114 |
Mailing Telephone | 3147767112 |
Mailing Fax Number | 3147767114 |
Enumeration Date | 2008-05-22 |
Last Update Date | 2013-07-29 |
Authorized Official Name | VAN L WAGNER (MEMBER) |
Authorized Official Telephone | 3147767112 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
Street Address |
10007 KENNERLY RD SUITE A |
City | SAINT LOUIS |
State | MO |
Zip Code | 63128-2179 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487745360 | David J Costigan | Internal Medicine | 10007 Kennerly Rd, Saint Louis, MO 63128-2179 | 2006-09-27 |
1427444074 | American Pain Clinic | Specialist | 10007 Kennerly Rd, Suite B, Saint Louis, MO 63128-2179 | 2015-04-10 |
1558511048 | Stacey E Brouk | Dietitian, Registered | 10007 Kennerly Rd, Suite A, Saint Louis, MO 63128-2179 | 2008-09-22 |
1548418353 | Jason Michael Ameling | Chiropractor | 10007 Kennerly Rd, Saint Louis, MO 63128-2179 | 2008-09-04 |
1861651135 | Katherine Anne Hotaling | Dentist | 10007 Kennerly Rd, Saint Louis, MO 63128-2179 | 2008-06-03 |
1346417250 | Kumaran Chinnappan | Surgery | 10007 Kennerly Rd, Suite A, Saint Louis, MO 63128-2179 | 2008-05-09 |
1811041387 | Ameling Chiropractic & Acupuncture, L.L.C. | Chiropractor | 10007 Kennerly Rd, Saint Louis, MO 63128-2179 | 2007-01-22 |
1194878108 | Lauren Alaine Ameling | Chiropractor | 10007 Kennerly Rd, Saint Louis, MO 63128-2179 | 2007-01-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
Find all providers in zip 63128 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497381990 | Styles 40 Salon | Specialist | 4550 Gravois Ave, Saint Louis, MO 63116-2426 | 2020-03-16 |
1013560721 | Against The Grainz | Specialist | 8523 Drury Ln, Saint Louis, MO 63147-1313 | 2019-07-22 |
1487211033 | Kia Lanay Lewis | Specialist | 9700 Portage Dr, Saint Louis, MO 63136-5312 | 2019-05-20 |
1376011007 | Lashonda S Wash | Specialist | 222 Bruce Ave, Saint Louis, MO 63135-2704 | 2018-11-12 |
1326516048 | Showna Walker | Specialist | 2242 Berwyn Dr, Saint Louis, MO 63136-5415 | 2018-11-12 |
1760973697 | Angela Haas | Specialist | 1361 Childress Ave, Saint Louis, MO 63139-3451 | 2018-05-26 |
1962907782 | Kelsey Conley | Specialist | 2839 Howard St, Saint Louis, MO 63106-2027 | 2018-03-25 |
1285135848 | Che Salon | Specialist | 8416 Olive Blvd, Saint Louis, MO 63132-2816 | 2018-02-27 |
1790225084 | Michael Bergman | Specialist | 6327 S Grand Blvd, Apt 1g, Saint Louis, MO 63111-2653 | 2017-03-06 |
1275082406 | Tim Fick | Specialist | 5157 Lemay Ferry Rd, Saint Louis, MO 63129-1533 | 2016-09-29 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63128 |
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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.