LIFE LINE SURGICAL SERVICES LLC
NPI 1851629356
Surgery in Saint Louis, MO

Q: What is Life Line Surgical Services LLC's NPI number?

The NPI number for Life Line Surgical Services LLC is 1851629356. It was assigned to this organization in the NPPES registry on November 23, 2009.

Q: What is Life Line Surgical Services LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since November 23, 2009

10004 KENNERLY RD, SUITE 330-A, SAINT LOUIS, MO 63128(314) 718-9947(314) 718-9947 Get Directions Write a Review

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

On this page

About Life Line Surgical Services Llc NPPES

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

LIFE LINE SURGICAL SERVICES LLC (NPI 1851629356) is a healthcare organization registered as a surgery in Saint Louis, Missouri and active in the NPI registry since November 2009. The organization lists Della Aridge, Nurse/manager, as its authorized official.

NPPES Registry Identity

NPI1851629356

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameLIFE LINE SURGICAL SERVICES LLC

Location Address10004 KENNERLY RD, SUITE 330-ASaint Louis, MO 63128-2141

Mailing Address10004 Kennerly Rd, Suite 330-aSaint Louis, MO 63128-2141 · (314) 718-9947 · Fax (314) 718-9947

Phone(314) 718-9947

Fax(314) 718-9947

Organization SubpartNo

Authorized OfficialDella AridgeNurse/manager · (314) 591-1125

Enumeration DateNovember 23, 2009

Last NPPES UpdateFebruary 7, 2023

NPPES CertifiedFebruary 7, 2023

✔ NPI 1851629356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MO · 33400

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

10004 KENNERLY RD, Saint Louis, MO 63128

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Other Identifiers 2

Other16010260MO · Cpin

Other1407950017MO · Individual Npi

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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. DAVID EARL GOODMAN DDS

Dentist (General Practice)

10004 KENNERLY RD, SUITE 240
ST LOUIS, MO 63128

St. Louis County (314) 849-3234

DR. ABRAHAM BLAIN MEDARIS MD

Psychiatry & Neurology (Psychiatry)

10004 KENNERLY RD, STE 364B
SAINT LOUIS, MO 63128

St. Louis County (314) 525-4429

VINCENT P FORTUNATO MD LLC

Internal Medicine

10004 KENNERLY RD, 255A
SAINT LOUIS, MO 63128

St. Louis County (314) 843-5140

PAIN CARE INNOVATIONS

Durable Medical Equipment & Medical Supplies

10004 KENNERLY RD, SUITE 250A
SAINT LOUIS, MO 63128

St. Louis County (314) 849-8399

DR. SYLVIA ANN STEILING M.D.

Surgery

10004 KENNERLY RD, STE 137A
SAINT LOUIS, MO 63128

St. Louis County (314) 849-2727

ST ANTHONYS PROFESSIONAL PHARMACY LLC

Pharmacy (Community/Retail Pharmacy)

10004 KENNERLY RD, SUITE 130
SAINT LOUIS, MO 63128

St. Louis County (314) 525-4777

FRANK H GAFFORD MD, PC

Internal Medicine (Cardiovascular Disease)

10004 KENNERLY RD, SUITE 283B
SAINT LOUIS, MO 63128

St. Louis County (314) 707-8319

HAND SURGERY ASSOCIATES P C

Specialist

10004 KENNERLY RD, SUITE 259B
SAINT LOUIS, MO 63128

St. Louis County (314) 842-2200

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 Life Line Surgical Services LLC's NPI number?

The NPI number for Life Line Surgical Services LLC is 1851629356. It was assigned to this organization in the NPPES registry on November 23, 2009.

Where is Life Line Surgical Services LLC located?

Life Line Surgical Services LLC is located at 10004 Kennerly Rd Suite 330-A, Saint Louis, MO 63128. The listed phone number is (314) 718-9947.

What is Life Line Surgical Services LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

What insurance does Life Line Surgical Services LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Life Line Surgical Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Life Line Surgical Services LLC was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.