NEUROSURGICAL SPECIALISTS OF WEST COUNTY INC
NPI 1053687079
Physician Assistant - Surgical in Saint Louis, MO

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since March 23, 2012

621 S NEW BALLAS RD, SUITE 297A, SAINT LOUIS, MO 63141(314) 251-6364(314) 251-7897 Get Directions Write a Review

NPPES record last updated: November 2, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Neurosurgical Specialists Of West County Inc NPPES

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

NEUROSURGICAL SPECIALISTS OF WEST COUNTY INC (NPI 1053687079) is a healthcare organization registered as a surgical in Saint Louis, Missouri and active in the NPI registry since March 2012. The organization lists Angela Rose Genisio, Pa-c, as its authorized official.

NPPES Registry Identity

NPI1053687079

Entity TypeOrganization

Primary Taxonomy363AS0400X

Legal Business NameNEUROSURGICAL SPECIALISTS OF WEST COUNTY INC

Location Address621 S NEW BALLAS RD, SUITE 297ASaint Louis, MO 63141-8232

Mailing Address621 S New Ballas Rd, Suite 297aSaint Louis, MO 63141-8232 · (314) 251-6364 · Fax (314) 251-7897

Phone(314) 251-6364

Fax(314) 251-7897

Organization SubpartNo

Authorized OfficialAngela Rose GenisioPa-c · (314) 251-6364

Enumeration DateMarch 23, 2012

Last NPPES UpdateNovember 2, 2012

✔ NPI 1053687079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in MO · 2012027914

621 S NEW BALLAS RD, Saint Louis, MO 63141

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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