NORTH CAMPUS SURGERY CENTER LLC (NPI# 1073997144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073997144 |
| Entity Type | Organization |
| Organization Name | NORTH CAMPUS SURGERY CENTER LLC |
| Other Organization Name | NORTH CAMPUS SURGERY CENTER |
| Practice Address |
633 Emerson Rd #120 Creve Coeur MO 63141-6739 |
| Mailing Address |
15305 Dallas Pkwy Ste 1600 Addison TX 75001-6491 |
| Practice Telephone | 3149919922 |
| Practice Fax Number | 3149916794 |
| Mailing Telephone | 9727633893 |
| Mailing Fax Number | 9726926745 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | JENETHA D MORAN (OFFICER/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9727633893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
TBD | MO | Ambulatory Health Care Facilities |
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
264-0 | MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| North Campus Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326286360 | North Campus Surgery Center LLC | Clinic/Center | 8040 Clearvista Pkwy Ste 150, Indianapolis, IN 46256-4673 | 2009-01-29 |
| Street Address |
633 EMERSON RD #120 |
| City | CREVE COEUR |
| State | MO |
| Zip Code | 63141-6739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912995317 | Harry C Eggleston | Ophthalmology | 633 Emerson Rd, Creve Coeur, MO 63141-6739 | 2005-10-10 |
| 1871032680 | Olive Ambulatory Surgery Center, LLC | Clinic/Center | 633 Emerson Rd, Suite #120, Creve Coeur, MO 63141-6739 | 2017-02-14 |
| 1497293435 | Daniel Herrin | Specialist/Technologist | 633 Emerson Rd, Suite 20, Creve Coeur, MO 63141-6739 | 2017-02-10 |
| 1144768912 | Joint Health LLC | Orthopaedic Surgery | 633 Emerson Rd, Suite 10, Creve Coeur, MO 63141-6739 | 2017-02-01 |
| 1114315140 | Benjamin Hicks | Specialist/Technologist | 633 Emerson Rd, Suite 20, Creve Coeur, MO 63141-6739 | 2014-12-29 |
| 1235571134 | Joint Health LLC | Orthopaedic Surgery | 633 Emerson Rd, Suite 100, Creve Coeur, MO 63141-6739 | 2013-07-22 |
| 1972845923 | Emerson Surgery Center, LLC | Clinic/Center | 633 Emerson Rd, Suite 140, Creve Coeur, MO 63141-6739 | 2013-03-17 |
| 1760756126 | Nathaniel Larue Burney | Specialist/Technologist | 633 Emerson Rd, Suite 20, Creve Coeur, MO 63141-6739 | 2012-03-02 |
| 1861764771 | St. Louis Spine Surgery Center, LLC | Clinic/Center | 633 Emerson Rd, Suite 160, Creve Coeur, MO 63141-6739 | 2012-02-08 |
| 1437488400 | Nancy Ketring Kennedy | Optometrist | 633 Emerson Rd, Creve Coeur, MO 63141-6739 | 2009-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393130 | United Surgical Center, LLC | Clinic/Center | 638 Chamblee Ln, Creve Coeur, MO 63141-7323 | 2020-07-22 |
| 1538198619 | Olive Surgery Center | Clinic/Center | 12101 Woodcrest Executive Dr Ste 101, Creve Coeur, MO 63141-5047 | 2006-07-01 |
| 1740245901 | St. Louis Surgical Center, Lc | Clinic/Center | 760 Office Pkwy, Creve Coeur, MO 63141-7105 | 2006-04-19 |
| 1831180272 | Advanced Endoscopy Center | Clinic/Center | 11525 Olde Cabin Road, Suite 101, Creve Coeur, MO 63141-7146 | 2005-11-03 |
| 1154318517 | Creve Coeur Surgery Center LLC | Clinic/Center | 845 N New Ballas Ct, Suite 100, Creve Coeur, MO 63141-7148 | 2005-09-30 |
| 1578566758 | Advanced Ambulatory Surgical Care, Lp | Clinic/Center | 10448 Old Olive Street Rd, Ste 100, Creve Coeur, MO 63141 | 2005-05-23 |
| 1821500505 | Laser Spine Institute Ll Sole Mbr | Clinic/Center | 450 N New Ballas Rd, Creve Coeur, MO 63141-6835 | 2017-11-02 |
| 1871032680 | Olive Ambulatory Surgery Center, LLC | Clinic/Center | 633 Emerson Rd, Suite #120, Creve Coeur, MO 63141-6739 | 2017-02-14 |
| 1205241361 | Total Joint Center of St. Louis, Lp | Clinic/Center | 760 Office Pkwy, Creve Coeur, MO 63141-7105 | 2014-06-27 |
| 1568874832 | Laser Spine Surgery Center of St. Louis, LLC | Clinic/Center | 450 N New Ballas Rd, Creve Coeur, MO 63141-6835 | 2014-05-21 |
| Find all providers in CREVE COEUR | ||||
| City | CREVE COEUR |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on NORTH CAMPUS SURGERY CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.