SOUTH COUNTY OUTPATIENT ENDOSCOPY SERVICES, LP


Address: 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128
Phone: 3147299780

SOUTH COUNTY OUTPATIENT ENDOSCOPY SERVICES, LP (NPI# 1528210770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528210770
Entity Type Organization
Organization Name SOUTH COUNTY OUTPATIENT ENDOSCOPY SERVICES, LP
Other Organization Name SOUTH COUNTY OUTPATIENT ENDOSCOPY SERVICES
Practice Address 5139 Mattis Rd
Suite 100
Saint Louis
MO 63128
Mailing Address 5139 Mattis Rd
Suite 100
Saint Louis
MO 63128-2250
Practice Telephone 3147299780
Practice Fax Number 3147299785
Mailing Telephone 3147299780
Mailing Fax Number 3147299785
Enumeration Date 2008-10-21
Last Update Date 2018-05-30
Authorized Official Name JENETHA D MORAN (AUTHORIZED OFFICIAL)
Authorized Official Telephone 9727633893
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
19731 MO Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
South County Outpatient Endoscopy Services Doing Business As Name - Organization

Office Location

Street Address 5139 MATTIS RD
SUITE 100
City SAINT LOUIS
State MO
Zip Code 63128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043636798 Uap Scopes, LLC Anesthesiology 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 2014-03-05

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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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
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
1699824987 Healthmark Gravois LLC Clinic/Center 9701 Landmark Parkway Dr Ste 102, Saint Louis, MO 63127-1665 2007-01-09
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Competitor

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City SAINT LOUIS
Zip Code 63128

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Dataset Information

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.

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