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

Q: 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.

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: November 01, 2026.

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

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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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Woodcrest Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 8 clinicians reassign Medicare billing to Woodcrest Surgery Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.