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THE SURGERY CENTER AT ST. JOSEPH MEDICAL PARK
NPI 1396782553
Clinic/Center - Ambulatory Surgical in Saint Charles, MO

Active since May 31, 2006
1475 KISKER RD, SAINT CHARLES, MO 63304(636) 498-7400(636) 498-7420 Get Directions Write a Review

NPPES record last updated: December 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Surgery Center At St. Joseph Medical Park NPPES

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

THE SURGERY CENTER AT ST. JOSEPH MEDICAL PARK (NPI 1396782553) is a healthcare organization registered as an ambulatory surgical in Saint Charles, Missouri and active in the NPI registry since May 2006. The organization lists Steven Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1396782553
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSSM ST. JOSEPH SURGERY CENTER, LLC
Location Address1475 KISKER RDSaint Charles, MO 63304-8781
Mailing Address1836 Lackland Hill Pkwy, Attnt Credentialing DeptSaint Louis, MO 63146-3572 · (314) 989-0300 · Fax (314) 810-1399
Phone(636) 498-7400
Fax(636) 498-7420
Organization SubpartNo
Authorized OfficialSteven JohnsonPresident · (314) 989-2072
Enumeration DateMay 31, 2006
Last NPPES UpdateDecember 22, 2008
✔ NPI 1396782553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1475 KISKER RD, Saint Charles, MO 63304
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Other Names 1

Doing Business AsThe Surgery Center At St. Joseph Medical Park

Other Identifiers 1

Medicare ID-Type Unspecified000040034MS · Medicare Number

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.

SHITAL MEHTA
Nutritionist
1475 KISKER RD
SAINT CHARLES, MO 63304
St. Charles County (636) 498-7800
FOREFRONT DERMATOLOGY, S.C.
Dermatology
1475 KISKER RD, SUITE 270
SAINT CHARLES, MO 63304
St. Charles County (920) 663-9016
DR. RICHARD F VAUGHN M.D.
Internal Medicine
1475 KISKER RD
SAINT CHARLES, MO 63304
St. Charles County (636) 498-5850
SSM ST. JOSEPH HEALTH CENTER
Clinic/Center (Oncology, Radiation)
1475 KISKER RD, SUITE 190
SAINT CHARLES, MO 63304
St. Charles County (636) 498-7800
MRS. LAUREN RAE KNIGHT APRN, FNP-BC
Nurse Practitioner (Family)
1475 KISKER RD
SAINT CHARLES, MO 63304
St. Charles County (636) 498-7400
AMELIA SIGNORELLI
Occupational Therapist
1475 KISKER RD
SAINT CHARLES, MO 63304
St. Charles County (636) 498-7474
HEEL TO TOE PODIATRY LLC
Podiatrist (Foot & Ankle Surgery)
1475 KISKER RD, SUITE 260
SAINT CHARLES, MO 63304
St. Charles County (636) 928-4447
DR. AISLINN SUE VAUGHAN MD
Surgery (Surgical Oncology)
1475 KISKER RD, SUITE 185
SAINT CHARLES, MO 63304
St. Charles County (636) 498-5800

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 Ssm St. Joseph Surgery Center, LLC's NPI number?

The NPI number for Ssm St. Joseph Surgery Center, LLC is 1396782553. It was assigned to this organization in the NPPES registry on May 31, 2006. The provider is doing business as The Surgery Center At St. Joseph Medical Park.

Where is Ssm St. Joseph Surgery Center, LLC located?

Ssm St. Joseph Surgery Center, LLC is located at 1475 Kisker Rd, Saint Charles, MO 63304. The listed phone number is (636) 498-7400.

What is Ssm St. Joseph Surgery Center, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Ssm St. Joseph Surgery Center, LLC was last updated on December 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.