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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CUTTING EDGE SURGICAL SERVICES, LLC
NPI 1063233583
Physician Assistant - Surgical in Saint Louis, MO

Active since October 17, 2024
2840 CLARK AVE, SAINT LOUIS, MO 63103(214) 227-2457 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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.

314 SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
2840 CLARK AVE
SAINT LOUIS, MO 63103
St. Louis City (314) 949-3066
SPECIALIZED PHYSICAL THERAPY LLC
Physical Therapist
2840 CLARK AVE
SAINT LOUIS, MO 63103
St. Louis City (314) 970-2466
AXIS SPINE & ORTHOPEDICS LLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2840 CLARK AVE
SAINT LOUIS, MO 63103
St. Louis City (314) 949-2893
ST.LOUIS NEUROMONITORING LLC
Specialist/Technologist, Other (Electroneurodiagnostic)
2840 CLARK AVE
SAINT LOUIS, MO 63103
St. Louis City (618) 559-3692
KELLI RICHARDSON DPT
Physical Therapist
2840 CLARK AVE
SAINT LOUIS, MO 63103
St. Louis City (314) 970-2466

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 Cutting Edge Surgical Services, LLC's NPI number?

The NPI number for Cutting Edge Surgical Services, LLC is 1063233583. It was assigned to this organization in the NPPES registry on October 17, 2024.

Where is Cutting Edge Surgical Services, LLC located?

Cutting Edge Surgical Services, LLC is located at 2840 Clark Ave, Saint Louis, MO 63103. The listed phone number is (214) 227-2457.

What is Cutting Edge Surgical Services, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Cutting Edge Surgical Services, LLC was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.