CUTTING EDGE SURGICAL SERVICES, LLC - NPI 1063233583 - Physician Assistant 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.

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About Cutting Edge Surgical Services, Llc NPPES

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

CUTTING EDGE SURGICAL SERVICES, LLC (NPI 1063233583) is a healthcare organization registered as a surgical in Saint Louis, Missouri and active in the NPI registry since October 2024. The organization lists James Thacker, Rnfa, as its authorized official.

NPPES Registry Identity

NPI1063233583

Entity TypeOrganization

Primary Taxonomy363AS0400X

Legal Business NameCUTTING EDGE SURGICAL SERVICES, LLC

Location Address2840 CLARK AVESaint Louis, MO 63103-2506

Mailing Address2796 Kings Crossing DrBarnhart, MO 63012-1174 · (214) 227-2457

Phone(214) 227-2457

Organization SubpartNo

Authorized OfficialJames ThackerRnfa · (214) 227-2457

Enumeration DateOctober 17, 2024

Last NPPES UpdateJune 26, 2026

NPPES CertifiedJune 26, 2026

✔ NPI 1063233583 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

2840 CLARK AVE, Saint Louis, MO 63103

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

AXIS SPINE & ORTHOPEDICS LLC

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)