ST JOSEPH CENTER FOR OUTPATIENT SURGERY, LLC
NPI 1891759569
Clinic/Center - Ambulatory Surgical in Saint Joseph, MO

Q: What is St Joseph Center For Outpatient Surgery, LLC's specialty?

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

Active since April 12, 2006CLIA 26D1017314 · Waiver

4510 FREDERICK AVE, SAINT JOSEPH, MO 64506(816) 364-9992(816) 364-9996 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2022, May 20, 2020 (2 updates tracked since 2020).

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About St Joseph Center For Outpatient Surgery, Llc NPPES

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

ST JOSEPH CENTER FOR OUTPATIENT SURGERY, LLC (NPI 1891759569) is a healthcare organization registered as an ambulatory surgical in Saint Joseph, Missouri and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Alicia Edwards, Administrator, as its authorized official.

NPPES Registry Identity

NPI1891759569

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameST JOSEPH CENTER FOR OUTPATIENT SURGERY, LLC

Location Address4510 FREDERICK AVESaint Joseph, MO 64506-3238

Mailing Address4510 Frederick AveSaint Joseph, MO 64506-3238 · (816) 364-9992 · Fax (816) 364-9996

Phone(816) 364-9992

Fax(816) 364-9996

Organization SubpartNo

Authorized OfficialAlicia EdwardsAdministrator · (816) 364-9992

Enumeration DateApril 12, 2006

Last NPPES UpdateApril 29, 20252 updates tracked since enumeration

NPPES CertifiedApril 29, 2025

✔ NPI 1891759569 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 · 1332

4510 FREDERICK AVE, Saint Joseph, MO 64506

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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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1017314

St Joseph Ctr For Outpatient Surgery · Saint Joseph, MO

Active · expires Sep 21, 2027

CLIA Number26D1017314

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 22, 2025

Certificate Expiration DateSeptember 21, 2027

Laboratory DirectorBrett Miller

Laboratory Phone(816) 364-9992

Laboratory LocationSt Joseph Ctr For Outpatient Surgery4510 Frederick Blvd, Saint Joseph, MO 64506

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

283 services273 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

214 services212 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

181 services162 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

173 services173 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

140 services119 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

125 services125 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

96 services96 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

83 services59 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

63 services62 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

46 services44 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

44 services38 patients

Release and/or relocation of elbow nerve 64718

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

37 services31 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

35 services35 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

35 services34 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

33 services23 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

32 services31 patients

Replacement of knee joint on side of knee 27446

A knee joint replacement on one side, also known as unicompartmental knee replacement, is a surgical procedure where damaged parts of the knee joint are replaced with artificial parts. This helps to reduce pain and improve mobility. It's typically done under general anesthesia.

26 services22 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

25 services24 patients

Removal of both knee cartilages using an endoscope 29880

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

21 services21 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

17 services17 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

15 services13 patients

Other Providers at the Same Location NPPES 4

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

MR. KENNETH JUDE CONDE CRNA

Nurse Anesthetist, Certified Registered

4510 FREDERICK AVE
SAINT JOSEPH, MO 64506

Buchanan County (816) 364-9992

GERALYN MARTIN CRNA

Nurse Anesthetist, Certified Registered

4510 FREDERICK AVE
SAINT JOSEPH, MO 64506

Buchanan County (816) 364-9992

MARY E WINTER CRNA

Nurse Anesthetist, Certified Registered

4510 FREDERICK AVE
SAINT JOSEPH, MO 64506

Buchanan County (816) 364-9992

MR. VICTOR J QUINTERO RN ARNP CRNA

Nurse Anesthetist, Certified Registered

4510 FREDERICK AVE
SAINT JOSEPH, MO 64506

Buchanan County (816) 364-9992

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 St Joseph Center For Outpatient Surgery, LLC's NPI number?

The NPI number for St Joseph Center For Outpatient Surgery, LLC is 1891759569. It was assigned to this organization in the NPPES registry on April 12, 2006.

Where is St Joseph Center For Outpatient Surgery, LLC located?

St Joseph Center For Outpatient Surgery, LLC is located at 4510 Frederick Ave, Saint Joseph, MO 64506. The listed phone number is (816) 364-9992.

What is St Joseph Center For Outpatient Surgery, LLC's specialty?

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

Does St Joseph Center For Outpatient Surgery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1017314) is associated with this NPI, valid through September 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St Joseph Center For Outpatient Surgery, 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 4 other insurers list St Joseph Center For Outpatient Surgery, 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 St Joseph Center For Outpatient Surgery, LLC was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

About St Joseph Center For Outpatient Surgery, Llc NPPES

NPPES Registry Identity

Specialties & Licenses

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 26D1017314

Areas of Expertise CMS Part B claims 21

Other Providers at the Same Location NPPES 4

Frequently Asked Questions NPPES & CMS

What is St Joseph Center For Outpatient Surgery, LLC's NPI number?

Where is St Joseph Center For Outpatient Surgery, LLC located?

What is St Joseph Center For Outpatient Surgery, LLC's specialty?

Does St Joseph Center For Outpatient Surgery, LLC hold a CLIA laboratory certificate?

What insurance does St Joseph Center For Outpatient Surgery, LLC accept?

When was this NPI record last updated?

Certificate of Waiver 26D1017314