THE SURGERY CENTER OF ST. LOUIS, LLC
NPI 1710066014
Clinic/Center - Ambulatory Surgical in Saint Louis, MO

NPI Status: Active since November 06, 2006

Contact Information

12639 OLD TESSON RD
SUITE 130
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 729-0785
Fax: (314) 849-4637

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About THE SURGERY CENTER OF ST. LOUIS, LLC

This page provides the complete NPI Profile along with additional information for The Surgery Center Of St. Louis, Llc, a provider established in Saint Louis, Missouri operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1710066014 assigned on November 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 129-2 (MO). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Michael Ladevich (Ceo)

NPI
1710066014
Provider Name
THE SURGERY CENTER OF ST. LOUIS, LLC
Entity Type
Organization
Location Address
12639 OLD TESSON RD SUITE 130 SAINT LOUIS, MO 63128
Location Phone
(314) 729-0785
Location Fax
(314) 849-4637
Mailing Address
12639 OLD TESSON RD SUITE 130 SAINT LOUIS, MO 63128
Mailing Phone
(314) 729-0785
Mailing Fax
(314) 849-4637
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-06-2006
Last Update Date
04-14-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
129-2
License State
MO

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MICHAEL LADEVICH

Authorized Official Title
CEO
Authorized Official Phone
(314) 842-8655

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000040052MEDICARE ID-TYPE UNSPECIFIED (04)MO 
490005357OTHER (01)MORAILROAD MEDICARE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710066014, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 0 + 6 + 1 + 2 + 0 + 2 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1710066014.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
Orthopaedic Surgery
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
Physician Assistant
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
Physician Assistant
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
Surgery
12639 OLD TESSON RD
SAINT LOUIS, MO 63128
Occupational Therapist
12639 OLD TESSON RD, SUITE 120
SAINT LOUIS, MO 63128
Physical Therapist
12639 OLD TESSON RD, SUITE 120
SAINT LOUIS, MO 63128
Registered Nurse
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
Nurse Practitioner
12639 OLD TESSON RD
SAINT LOUIS, MO 63128
Physical Therapy Assistant
12639 OLD TESSON RD, SUITE 120
SAINT LOUIS, MO 63128
Physical Therapy Assistant
12639 OLD TESSON RD, SUITE 120
SAINT LOUIS, MO 63128
Physical Therapy Assistant
12639 OLD TESSON RD, SUITE 120
SAINT LOUIS, MO 63128
Surgery
12639 OLD TESSON RD
SAINT LOUIS, MO 63128
Durable Medical Equipment & Medical Supplies
12639 OLD TESSON RD, SUITE 120
SAINT LOUIS, MO 63128
Durable Medical Equipment & Medical Supplies
12639 OLD TESSON RD, 116
SAINT LOUIS, MO 63128
Orthopaedic Surgery
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
Orthopaedic Surgery
12639 OLD TESSON RD, SUITE115
SAINT LOUIS, MO 63128
Orthopaedic Surgery
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
Orthopaedic Surgery
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
Orthopaedic Surgery
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710066014, enumerated as an "organization" on November 06, 2006.

The provider is located at 12639 OLD TESSON RD SUITE 130 SAINT LOUIS, MO 63128 and the phone number is (314) 729-0785.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.