SOUTH COUNTY SURGICAL SERVICES, LLC
NPI 1174615710
Specialist in Saint Louis, MO

Active since September 29, 2006
10004 KENNERLY RD, SUITE 137A, SAINT LOUIS, MO 63128(314) 525-4740(314) 525-4741 Get Directions Write a Review

NPPES record last updated: September 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South County Surgical Services, Llc NPPES

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

SOUTH COUNTY SURGICAL SERVICES, LLC (NPI 1174615710) is a healthcare organization registered as a specialist in Saint Louis, Missouri and active in the NPI registry since September 2006. The organization lists Tracy Parciak, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1174615710
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTH COUNTY SURGICAL SERVICES, LLC
Location Address10004 KENNERLY RD, SUITE 137ASaint Louis, MO 63128-2141
Mailing AddressPo Box 1209Maryland Heights, MO 63043-0209 · (314) 432-2580 · Fax (314) 432-0223
Fax(314) 525-4741
Organization SubpartNo
Authorized OfficialTracy ParciakOffice Manager · (314) 432-2580
Enumeration DateSeptember 29, 2006
Last NPPES UpdateSeptember 18, 2008
NPI 1174615710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MO · R6D37
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

10004 KENNERLY RD, Saint Louis, MO 63128

Other Identifiers 4

Medicaid509350609MO
OtherDG2303Railroad Medicare
Medicare UPINC68080MO
Medicare ID-Type Unspecified000014237MO

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

Other Providers at the Same Location NPPES 20

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

Dentist (General Practice)
10004 KENNERLY RD, SUITE 240
ST LOUIS, MO 63128
Psychiatry & Neurology (Psychiatry)
10004 KENNERLY RD, STE 364B
SAINT LOUIS, MO 63128
Internal Medicine
10004 KENNERLY RD, 255A
SAINT LOUIS, MO 63128
Durable Medical Equipment & Medical Supplies
10004 KENNERLY RD, SUITE 250A
SAINT LOUIS, MO 63128
Surgery
10004 KENNERLY RD, STE 137A
SAINT LOUIS, MO 63128
Pharmacy (Community/Retail Pharmacy)
10004 KENNERLY RD, SUITE 130
SAINT LOUIS, MO 63128
Internal Medicine (Cardiovascular Disease)
10004 KENNERLY RD, SUITE 283B
SAINT LOUIS, MO 63128
Specialist
10004 KENNERLY RD, SUITE 259B
SAINT LOUIS, MO 63128

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 South County Surgical Services, LLC's NPI number?

The NPI number for South County Surgical Services, LLC is 1174615710. It was assigned to this organization in the NPPES registry on September 29, 2006.

Where is South County Surgical Services, LLC located?

South County Surgical Services, LLC is located at 10004 Kennerly Rd Suite 137A, Saint Louis, MO 63128. The listed phone number is (314) 525-4740.

What is South County Surgical Services, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for South County Surgical Services, LLC was last updated on September 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.