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SURGERY SPECIALISTS OF MISSOURI LLC
NPI 1487811873
Specialist in Saint Louis, MO

Active since May 22, 2008
10007 KENNERLY RD, SUITE A, SAINT LOUIS, MO 63128(314) 776-7112(314) 776-7114 Get Directions Write a Review

NPPES record last updated: July 29, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Surgery Specialists Of Missouri Llc NPPES

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

SURGERY SPECIALISTS OF MISSOURI LLC (NPI 1487811873) is a healthcare organization registered as a specialist in Saint Louis, Missouri and active in the NPI registry since May 2008. The organization lists Van L Wagner, Member, as its authorized official.

NPPES Registry Identity

NPI1487811873
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSURGERY SPECIALISTS OF MISSOURI LLC
Location Address10007 KENNERLY RD, SUITE ASaint Louis, MO 63128-2179
Mailing AddressPo Box 29255Saint Louis, MO 63126-0255 · (314) 776-7112 · Fax (314) 776-7114
Phone(314) 776-7112
Fax(314) 776-7114
Organization SubpartNo
Authorized OfficialVan L WagnerMember · (314) 776-7112
Enumeration DateMay 22, 2008
Last NPPES UpdateJuly 29, 2013
✔ NPI 1487811873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.

10007 KENNERLY RD, Saint Louis, MO 63128
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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 7

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

DR. LAUREN ALAINE AMELING D.C.
Chiropractor
10007 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 843-6200
AMERICAN PAIN CLINIC
Specialist
10007 KENNERLY RD, SUITE B
SAINT LOUIS, MO 63128
St. Louis County (314) 270-9634
DR. DAVID J COSTIGAN M.D.
Internal Medicine (Gastroenterology)
10007 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 849-6898
DR. JASON MICHAEL AMELING D.C.
Chiropractor
10007 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 843-6200
STACEY E BROUK RD, LD
Dietitian, Registered
10007 KENNERLY RD, SUITE A
SAINT LOUIS, MO 63128
St. Louis County (314) 776-7112
AMELING CHIROPRACTIC & ACUPUNCTURE, L.L.C.
Chiropractor
10007 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 843-6200
DR. KATHERINE ANNE HOTALING DDS
Dentist
10007 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 842-0440

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 Surgery Specialists Of Missouri LLC's NPI number?

The NPI number for Surgery Specialists Of Missouri LLC is 1487811873. It was assigned to this organization in the NPPES registry on May 22, 2008.

Where is Surgery Specialists Of Missouri LLC located?

Surgery Specialists Of Missouri LLC is located at 10007 Kennerly Rd Suite A, Saint Louis, MO 63128. The listed phone number is (314) 776-7112.

What is Surgery Specialists Of Missouri 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 Surgery Specialists Of Missouri LLC was last updated on July 29, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.