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NORTH CAMPUS SURGERY CENTER
NPI 1073997144
Clinic/Center - Ambulatory Surgical in Creve Coeur, MO

Active since July 17, 2015CLIA 26D2099712 · Waiver
633 EMERSON RD, #120, CREVE COEUR, MO 63141(314) 991-9922(314) 991-6794 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 13, 2019, Feb 7, 2017 (2 updates tracked since 2017).

About North Campus Surgery Center NPPES

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

NORTH CAMPUS SURGERY CENTER (NPI 1073997144) is a healthcare organization registered as an ambulatory surgical in Creve Coeur, Missouri and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through July 30, 2027 and lists Jenetha D Moran, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1073997144
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTH CAMPUS SURGERY CENTER LLC
Location Address633 EMERSON RD, #120Creve Coeur, MO 63141-6739
Mailing Address15305 Dallas Pkwy Ste 1600Addison, TX 75001-6491 · (972) 763-3893 · Fax (972) 692-6745
Phone(314) 991-9922
Fax(314) 991-6794
Organization SubpartNo
Authorized OfficialJenetha D MoranOfficer/authorized Official · (972) 763-3893
Enumeration DateJuly 17, 2015
Last NPPES UpdateAugust 13, 20192 updates tracked since enumeration
✔ NPI 1073997144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Licenses✔ Licensed in MO · 264-0✔ Licensed in MO · TBD
633 EMERSON RD, Creve Coeur, MO 63141
Open in Google Maps ↗

Other Names 1

Doing Business AsNorth Campus Surgery Center

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 26D2099712

Olive Ambulatory Surgery Center, LLC Dba North Campus Surgery Center · Creve Coeur, MO
Active · expires Jul 30, 2027
CLIA Number26D2099712
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorMichael Ryan
Laboratory Phone(314) 991-9922
Laboratory LocationOlive Ambulatory Surgery Center, LLC Dba North Campus Surgery Center633 Emerson Rd Ste 120, Creve Coeur, 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 19

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

DR. HARRY C EGGLESTON M.D.
Ophthalmology
633 EMERSON RD
CREVE COEUR, MO 63141
St. Louis County (314) 872-7744
SURGICAL CENTER OF CREVE COEUR
Clinic/Center (Ambulatory Surgical)
633 EMERSON RD, STE 140
CREVE COEUR, MO 63141
St. Louis County (314) 872-7744
SLSSC, LLC
Clinic/Center
633 EMERSON RD, SUITE 160
CREVE COEUR, MO 63141
St. Louis County (618) 535-0851
HARRY C EGGLESTON MD PC II
Ophthalmology
633 EMERSON RD, STE 100
CREVE COEUR, MO 63141
St. Louis County (314) 872-7744
DR. NANCY KETRING KENNEDY O.D.
Optometrist
633 EMERSON RD
CREVE COEUR, MO 63141
St. Louis County (314) 872-7744
ST. LOUIS SPINE SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
633 EMERSON RD, SUITE 160
CREVE COEUR, MO 63141
St. Louis County (314) 569-2007
EMERSON ROAD IMAGING CENTER LLC
Clinic/Center (Radiology)
633 EMERSON RD
SAINT LOUIS, MO 63141
St. Louis County (314) 991-4674
MR. NATHANIEL LARUE BURNEY ATC
Specialist/Technologist (Athletic Trainer)
633 EMERSON RD, SUITE 20
CREVE COEUR, MO 63141
St. Louis County (785) 845-3358

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 North Campus Surgery Center LLC's NPI number?

The NPI number for North Campus Surgery Center LLC is 1073997144. It was assigned to this organization in the NPPES registry on July 17, 2015. The provider is doing business as North Campus Surgery Center.

Where is North Campus Surgery Center LLC located?

North Campus Surgery Center LLC is located at 633 Emerson Rd #120, Creve Coeur, MO 63141. The listed phone number is (314) 991-9922.

What is North Campus Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does North Campus Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2099712) is associated with this NPI, valid through July 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Campus Surgery Center LLC was last updated on August 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.