1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Clinic Center
  6. NPI Profile

DES PERES SQUARE SURGERY CENTER
NPI 1497720882
Clinic/Center - Ambulatory Surgical in Saint Louis, MO

Active since February 21, 2006
1050 OLD DES PERES RD, SUITE 150, SAINT LOUIS, MO 63131(314) 569-2918(314) 569-9473 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Des Peres Square Surgery Center NPPES

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

DES PERES SQUARE SURGERY CENTER (NPI 1497720882) is a healthcare organization registered as an ambulatory surgical in Saint Louis, Missouri and active in the NPI registry since February 2006. The organization lists Phillip A Clendenin, President, as its authorized official.

NPPES Registry Identity

NPI1497720882
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTHE ST LOUIS MO ORTHOPAEDIC ASC LLC
Location Address1050 OLD DES PERES RD, SUITE 150Saint Louis, MO 63131-1873
Mailing Address1050 Old Des Peres Rd, Suite 150Saint Louis, MO 63131-1873 · (314) 569-2918 · Fax (314) 569-9473
Phone(314) 569-2918
Fax(314) 569-9473
Organization SubpartNo
Authorized OfficialPhillip A ClendeninPresident · (615) 665-1283
Enumeration DateFebruary 21, 2006
Last NPPES UpdateSeptember 7, 2023
✔ NPI 1497720882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in MO · 171-1
1050 OLD DES PERES RD, Saint Louis, MO 63131
Open in Google Maps ↗

Other Names 1

Doing Business AsDes Peres Square Surgery Center

Other Identifiers 4

Other149879MO · Blue Cross Blue Shield
Other611789400MO · Us Dept Of Labor
OtherTRICAREMO · 260042667
Other490005580MO · Railroad Medicare

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1002668

Des Peres Square Surgery Center · Saint Louis, MO
Expired · Aug 12, 2026
CLIA Number26D1002668
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorMichael Nogalski
Laboratory Phone(314) 569-2918
Laboratory LocationDes Peres Square Surgery CenterAttn Jill Tate 1050 Old Des Peres Road Ste 150, Saint Louis, MO 63131
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MR. BRIAN WILLIAM BRADLEY P.T.
Physical Therapist
1050 OLD DES PERES RD, SUITE 40
SAINT LOUIS, MO 63131
St. Louis County (314) 821-0200
ANGELA GRAINGER GAUTHIER
Physician Assistant
1050 OLD DES PERES RD, SUITE 100
SAINT LOUIS, MO 63131
St. Louis County (314) 569-0612
MRS. CHRISTY DOW M.A. OTR/L
Occupational Therapist (Pediatrics)
1050 OLD DES PERES RD, SUITE 40
SAINT LOUIS, MO 63131
St. Louis County (314) 821-0200
DES PERES SQUARE IMAGING CENTER LLC
Clinic/Center (Magnetic Resonance Imaging (MRI))
1050 OLD DES PERES RD, SUITE 75
SAINT LOUIS, MO 63131
St. Louis County (314) 569-2412
WILLIAM FEINSTEIN M.D.
Orthopaedic Surgery (Hand Surgery)
1050 OLD DES PERES RD, SUITE 100
SAINT LOUIS, MO 63131
St. Louis County (314) 569-0612
ORTHOPEDIC & SPORTS MEDICINE EQUIPMENT & SUPPLY L L C
Durable Medical Equipment & Medical Supplies
1050 OLD DES PERES RD, SUITE 60
SAINT LOUIS, MO 63131
St. Louis County (314) 878-7030
MR. JEFFREY T PELIZZARO MPT
Physical Therapist (Orthopedic)
1050 OLD DES PERES RD, SUITE 40
ST LOUIS, MO 63131
St. Louis County (314) 821-0200
ROBERT KRAMER M.D.
Orthopaedic Surgery
1050 OLD DES PERES RD, SUITE 100
SAINT LOUIS, MO 63131
St. Louis County (314) 569-0612

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 The St Louis Mo Orthopaedic ASC LLC's NPI number?

The NPI number for The St Louis Mo Orthopaedic ASC LLC is 1497720882. It was assigned to this organization in the NPPES registry on February 21, 2006. The provider is doing business as Des Peres Square Surgery Center.

Where is The St Louis Mo Orthopaedic ASC LLC located?

The St Louis Mo Orthopaedic ASC LLC is located at 1050 Old Des Peres Rd Suite 150, Saint Louis, MO 63131. The listed phone number is (314) 569-2918.

What is The St Louis Mo Orthopaedic ASC 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 The St Louis Mo Orthopaedic ASC LLC was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.