BLUE VALLEY SURGICAL ASSOCIATES, LLC
NPI 1275916934
Nurse Practitioner - Family in O Fallon, MO

Active since June 30, 2015
2341 HIGHWAY K, SUITE 214, O FALLON, MO 63368(636) 542-6020 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Valley Surgical Associates, Llc NPPES

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

BLUE VALLEY SURGICAL ASSOCIATES, LLC (NPI 1275916934) is a healthcare organization registered as a family in O Fallon, Missouri and active in the NPI registry since June 2015. The organization lists Douglas Palzer, Ownwe-ceo, as its authorized official.

NPPES Registry Identity

NPI1275916934
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBLUE VALLEY SURGICAL ASSOCIATES, LLC
Location Address2341 HIGHWAY K, SUITE 214O Fallon, MO 63368-8604
Mailing Address12920 Metcalf Ave, Ste 250Overland Park, KS 66213-2699 · (913) 428-4723
Organization SubpartNo
Authorized OfficialDouglas PalzerOwnwe-ceo · (913) 428-4723
Enumeration DateJune 30, 2015
NPI 1275916934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2015020560
2341 HIGHWAY K, O Fallon, MO 63368

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

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 Blue Valley Surgical Associates, LLC's NPI number?

The NPI number for Blue Valley Surgical Associates, LLC is 1275916934. It was assigned to this organization in the NPPES registry on June 30, 2015.

Where is Blue Valley Surgical Associates, LLC located?

Blue Valley Surgical Associates, LLC is located at 2341 Highway K Suite 214, O Fallon, MO 63368. The listed phone number is (636) 542-6020.

What is Blue Valley Surgical Associates, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Blue Valley Surgical Associates, LLC was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.