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CARDINAL GLENNON PEDIATRIC SURGERY CENTER AT MEDICAL PARK
NPI 1669644456
Clinic/Center - Ambulatory Surgical in Saint Charles, MO

Active since April 01, 2008
1475 KISKER RD, SUITE 120, SAINT CHARLES, MO 63304(636) 498-7878(636) 498-7420 Get Directions Write a Review

NPPES record last updated: December 22, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cardinal Glennon Pediatric Surgery Center At Medical Park NPPES

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

CARDINAL GLENNON PEDIATRIC SURGERY CENTER AT MEDICAL PARK (NPI 1669644456) is a healthcare organization registered as an ambulatory surgical in Saint Charles, Missouri and active in the NPI registry since April 2008. The organization lists Sharon Dudley, Evp/coo, as its authorized official.

NPPES Registry Identity

NPI1669644456
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSSM CARDINAL GLENNON CHILDREN'S HOSPITAL
Location Address1475 KISKER RD, SUITE 120Saint Charles, MO 63304-8781
Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 577-5600
Phone(636) 498-7878
Fax(636) 498-7420
Organization SubpartNo
Authorized OfficialSharon DudleyEvp/coo · (314) 768-8032
Enumeration DateApril 1, 2008
Last NPPES UpdateDecember 22, 2008
✔ NPI 1669644456 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 AsCardinal Glennon Pediatric Surgery Center At Medical Park

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.

DR. ALAN W HOLSHOUSER M.D.
Pediatrics
1475 KISKER RD, SUITE 200
SAINT CHARLES, MO 63304
St. Charles County (636) 498-5830
DR. JASON M MITCHELL M.D.
Family Medicine
1475 KISKER RD
SAINT CHARLES, MO 63304
St. Charles County (636) 498-5810
DR. SUE SATEESHA M.D.
Pediatrics
1475 KISKER RD, SUITE 200
SAINT CHARLES, MO 63304
St. Charles County (636) 498-5830
SSM ST. JOSEPH HEALTH CENTER
Clinic/Center (Oncology, Radiation)
1475 KISKER RD, SUITE 190
SAINT CHARLES, MO 63304
St. Charles County (636) 498-7800
SSM ST. JOSEPH SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
1475 KISKER RD
SAINT CHARLES, MO 63304
St. Charles County (636) 498-7400
SSM ST. JOSEPH HEALTH CENTER
Clinic/Center
1475 KISKER RD
SAINT CHARLES, MO 63304
St. Charles County (636) 498-7400
PETER MATTHEW SCHOCH MD
Internal Medicine
1475 KISKER RD, SUITE 200
SAINT CHARLES, MO 63304
St. Charles County (636) 498-5850
DR. CHRISTINE GERAGHTY M.D.
Radiology (Diagnostic Radiology)
1475 KISKER RD, SUITE 160
SAINT CHARLES, MO 63304
St. Charles County (636) 498-7800

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 Cardinal Glennon Children's Hospital's NPI number?

The NPI number for Ssm Cardinal Glennon Children's Hospital is 1669644456. It was assigned to this organization in the NPPES registry on April 1, 2008.

Where is Ssm Cardinal Glennon Children's Hospital located?

Ssm Cardinal Glennon Children's Hospital is located at 1475 Kisker Rd Suite 120, Saint Charles, MO 63304. The listed phone number is (636) 498-7878.

What is Ssm Cardinal Glennon Children's Hospital'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 Cardinal Glennon Children's Hospital was last updated on December 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.