ST LOUIS SURGICAL DOCTORS GROUP LLC
NPI 1417126210
Specialist in Saint Louis, MO

Q: What is St Louis Surgical Doctors Group LLC's NPI number?

The NPI number for St Louis Surgical Doctors Group LLC is 1417126210. It was assigned to this organization in the NPPES registry on February 26, 2008.

Q: What is St Louis Surgical Doctors Group LLC's specialty?

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

Active since February 26, 2008

3535 S JEFFERSON AVE, SUITE 201, SAINT LOUIS, MO 63118(314) 577-5778 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About St Louis Surgical Doctors Group Llc NPPES

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

ST LOUIS SURGICAL DOCTORS GROUP LLC (NPI 1417126210) is a healthcare organization registered as a specialist in Saint Louis, Missouri and active in the NPI registry since February 2008. The organization lists Anil K Srivastava, Physician, as its authorized official.

NPPES Registry Identity

NPI1417126210

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameST LOUIS SURGICAL DOCTORS GROUP LLC

Location Address3535 S JEFFERSON AVE, SUITE 201Saint Louis, MO 63118-3930

Mailing Address548 Claymont Place DrBallwin, MO 63011-2553 · (314) 577-5778

Phone(314) 577-5778

Organization SubpartNo

Authorized OfficialAnil K SrivastavaPhysician · (314) 577-5778

Enumeration DateFebruary 26, 2008

✔ NPI 1417126210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MO · 2004034166

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.

3535 S JEFFERSON AVE, Saint Louis, MO 63118

Open in Google Maps ↗

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.

CHRISTINE ANNE VUKOMANOVIC

Pharmacist

3535 S JEFFERSON AVE
SAINT LOUIS, MO 63118

St. Louis City (314) 645-9990

DR. GURPRAKASH SINGH GREWAL M.D.

Family Medicine

3535 S JEFFERSON AVE, SUITE 314
SAINT LOUIS, MO 63118

St. Louis City (314) 772-5070

DR. DANG HAI DO D.P.M.

Podiatrist (Foot Surgery)

3535 S JEFFERSON AVE, SUITE 201
SAINT LOUIS, MO 63118

St. Louis City (314) 577-5778

CAROL D BLACKSHER APRN BC

Nurse Practitioner

3535 S JEFFERSON AVE, SUITE 118
SAINT LOUIS, MO 63118

St. Louis City (314) 776-7999

MUDASIR ASIF M.D.

Psychiatry & Neurology (Psychiatry)

3535 S JEFFERSON AVE, STE 118
SAINT LOUIS, MO 63118

St. Louis City (314) 776-7999

DR. RICKY STUART MOFSEN D.O.

Psychiatry & Neurology (Psychiatry)

3535 S JEFFERSON AVE, SUITE 104
SAINT LOUIS, MO 63118

St. Louis City (314) 776-7999

JAY MAHADEVAN INC

Internal Medicine

3535 S JEFFERSON AVE, SUITE 304
ST LOUIS, MO 63118

St. Louis City (314) 865-6585

MOLLY DWYER SIMONSEN LPC

Counselor (Mental Health)

3535 S JEFFERSON AVE, SUITE 104
SAINT LOUIS, MO 63118

St. Louis City (314) 776-7990

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 St Louis Surgical Doctors Group LLC's NPI number?

The NPI number for St Louis Surgical Doctors Group LLC is 1417126210. It was assigned to this organization in the NPPES registry on February 26, 2008.

Where is St Louis Surgical Doctors Group LLC located?

St Louis Surgical Doctors Group LLC is located at 3535 S Jefferson Ave Suite 201, Saint Louis, MO 63118. The listed phone number is (314) 577-5778.

What is St Louis Surgical Doctors Group 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 St Louis Surgical Doctors Group LLC was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.