RIVERSIDE SURGERY CENTER, LLC
NPI 1871500967
Clinic/Center - Ambulatory Surgical in Florissant, MO

Q: What is Riverside Surgery Center, LLC's NPI number?

The NPI number for Riverside Surgery Center, LLC is 1871500967. It was assigned to this organization in the NPPES registry on August 2, 2006.

Q: What is Riverside Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since August 02, 2006

6829 PARKER RD, FLORISSANT, MO 63033(314) 373-2063(314) 373-2070 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Riverside Surgery Center, Llc NPPES

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

RIVERSIDE SURGERY CENTER, LLC (NPI 1871500967) is a healthcare organization registered as an ambulatory surgical in Florissant, Missouri and active in the NPI registry since August 2006. The organization lists Polly J Johnes, Administrator, as its authorized official.

NPPES Registry Identity

NPI1871500967

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameRIVERSIDE SURGERY CENTER, LLC

Location Address6829 PARKER RDFlorissant, MO 63033-5312

Mailing Address6829 Parker RdFlorissant, MO 63033-5312 · (314) 373-2063 · Fax (314) 373-2070

Phone(314) 373-2063

Fax(314) 373-2070

Organization SubpartNo

Authorized OfficialPolly J JohnesAdministrator · (314) 373-2063

Enumeration DateAugust 2, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1871500967 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 · 153-1

6829 PARKER RD, Florissant, MO 63033

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT OSTERHOUT CRNA

Nurse Anesthetist, Certified Registered

6829 PARKER RD
FLORISSANT, MO 63033

St. Louis County (314) 373-2063

RIVERSIDE AMBULATORY SURGERY CENTER, LP

Nurse Anesthetist, Certified Registered

6829 PARKER RD
FLORISSANT, MO 63033

St. Louis County (314) 373-2063

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 Riverside Surgery Center, LLC's NPI number?

The NPI number for Riverside Surgery Center, LLC is 1871500967. It was assigned to this organization in the NPPES registry on August 2, 2006.

Where is Riverside Surgery Center, LLC located?

Riverside Surgery Center, LLC is located at 6829 Parker Rd, Florissant, MO 63033. The listed phone number is (314) 373-2063.

What is Riverside Surgery Center, 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 Riverside Surgery Center, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.