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WOODCREST SURGERY CENTER
NPI 1003260100
Nurse Anesthetist, Certified Registered in Saint Louis, MO

Active since April 15, 2016CLIA 26D0922497 · Waiver
12101 WOODCREST EXECUTIVE DR, SUITE 101, SAINT LOUIS, MO 63141(314) 838-0321(314) 838-6532 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2023, Mar 6, 2020, Feb 25, 2020 and 1 more (4 updates tracked since 2017).

About Woodcrest Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOODCREST SURGERY CENTER (NPI 1003260100) is a healthcare organization registered as a nurse anesthetist, certified registered in Saint Louis, Missouri and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through November 25, 2026 and lists Jennifer Boyd Baldock, Officer And Authorized Offical, as its authorized official.

NPPES Registry Identity

NPI1003260100
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameNOVAMED EYE SURGERY CENTER OF NORTH COUNTY LLC
Location Address12101 WOODCREST EXECUTIVE DR, SUITE 101Saint Louis, MO 63141-5047
Mailing Address12101 Woodcrest Executive Dr, Suite 101Saint Louis, MO 63141-5047 · (314) 838-0321 · Fax (314) 838-6532
Phone(314) 838-0321
Fax(314) 838-6532
Organization SubpartNo
Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Offical · (615) 234-5954
Enumeration DateApril 15, 2016
Last NPPES UpdateFebruary 8, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1003260100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
12101 WOODCREST EXECUTIVE DR, Saint Louis, MO 63141
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Other Names 1

Doing Business AsWoodcrest Surgery Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0922497

Woodcrest Surgery Center · Saint Louis, MO
Active · expires Nov 25, 2026
CLIA Number26D0922497
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorJames Walters
Laboratory Phone(314) 838-0321
Laboratory LocationWoodcrest Surgery Center12101 Woodcrest Executive Drive Suite 101, Saint Louis, MO 63141
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IN HOME HEALTH LLC
Home Health
12101 WOODCREST EXECUTIVE DR
SAINT LOUIS, MO 63141
St. Louis County (314) 453-0990
MR. RAJENDRA GAVINI M.D.
General Practice
12101 WOODCREST EXECUTIVE DR, SUITE 210
SAINT LOUIS, MO 63141
St. Louis County (314) 317-0600
NOVAMED EYE SURGERY CENTER OF NORTH COUNTY, LLC
Clinic/Center (Ambulatory Surgical)
12101 WOODCREST EXECUTIVE DR, SUITE 101
SAINT LOUIS, MO 63141
St. Louis County (866) 631-7890
IPC PAC HEALTHCARE SERVICES OF MISSOURI INC
Hospitalist
12101 WOODCREST EXECUTIVE DR, SUITE 210
SAINT LOUIS, MO 63141
St. Louis County (314) 317-0600
OLIVE AMBULATORY SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
12101 WOODCREST EXECUTIVE DR, STE 101
SAINT LOUIS, MO 63141
St. Louis County (314) 576-4500
IN HOME HEALTH LLC
Hospice Care, Community Based
12101 WOODCREST EXECUTIVE DR, SUITE 102
SAINT LOUIS, MO 63141
St. Louis County (314) 453-0990
MR. LAWRENCE WELLS MD
Internal Medicine
12101 WOODCREST EXECUTIVE DR, SUITE 210
SAINT LOUIS, MO 63141
St. Louis County (314) 317-0600
IN HOME HEALTH, LLC
Internal Medicine (Hospice and Palliative Medicine)
12101 WOODCREST EXECUTIVE DR
SAINT LOUIS, MO 63141
St. Louis County (314) 453-0990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Novamed Eye Surgery Center Of North County LLC's NPI number?

The NPI number for Novamed Eye Surgery Center Of North County LLC is 1003260100. It was assigned to this organization in the NPPES registry on April 15, 2016. The provider is doing business as Woodcrest Surgery Center.

Where is Novamed Eye Surgery Center Of North County LLC located?

Novamed Eye Surgery Center Of North County LLC is located at 12101 Woodcrest Executive Dr Suite 101, Saint Louis, MO 63141. The listed phone number is (314) 838-0321.

What is Novamed Eye Surgery Center Of North County LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Does Novamed Eye Surgery Center Of North County LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0922497) is associated with this NPI, valid through November 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Novamed Eye Surgery Center Of North County LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Novamed Eye Surgery Center Of North County LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Novamed Eye Surgery Center Of North County LLC was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.