CARDINAL GLENNON PEDIATRIC SURGERY CENTER
NPI 1811074651
Clinic/Center - Ambulatory Surgical in Saint Louis, MO
About Cardinal Glennon Pediatric Surgery Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARDINAL GLENNON PEDIATRIC SURGERY CENTER (NPI 1811074651) is a healthcare organization registered as an ambulatory surgical in Saint Louis, Missouri and active in the NPI registry since November 2006. The organization lists Lynn L Boggs, Evp/coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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.
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
SAINT LOUIS, MO 63128
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 1811074651. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Cardinal Glennon Pediatric Surgery Center.
Where is Ssm Cardinal Glennon Children's Hospital located?
Ssm Cardinal Glennon Children's Hospital is located at 12700 Southfork Rd, Saint Louis, MO 63128. The listed phone number is (314) 543-5226.
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 November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Cardinal Glennon Pediatric Surgery Center · NPI 1811074651
Ambulatory Surgical organization in Saint Louis, Missouri. Organization record, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1811074651 (Entity type: Organization)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Legal business name:** Ssm Cardinal Glennon Children's Hospital
- **Organization subpart:** Yes (part of Ssm Health Care St. Louis)
- **Authorized official:** Lynn Boggs, EVP/COO
## Practice location
- **Address:** 12700 SOUTHFORK RD, Saint Louis, MO 63128-3201
- **Phone:** (314) 543-5226
## Record status
- **NPPES last updated:** November 15, 2011
- **Other identifiers:** Medicare ID-Type Unspecified 000040092; Medicaid =========003 (IL); Medicaid 507450302 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1811074651) · Data from the CMS NPPES public registry.