LASER SPINE SURGERY CENTER OF ST. LOUIS, LLC (NPI# 1568874832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568874832 |
| Entity Type | Organization |
| Organization Name | LASER SPINE SURGERY CENTER OF ST. LOUIS, LLC |
| Other Organization Name | LASER SPINE SURGERY CENTER OF MISSOURI, LLC |
| Practice Address |
450 N New Ballas Rd Creve Coeur MO 63141-6835 |
| Mailing Address |
5332 Avion Park Dr Tampa FL 33607-1412 |
| Practice Telephone | 3149302693 |
| Practice Fax Number | 4842531790 |
| Mailing Telephone | 8136822944 |
| Mailing Fax Number | 4842531790 |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2017-01-12 |
| Authorized Official Name | DR. MICHAEL W PERRY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8132899613 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | LSI HOLDCO, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Laser Spine Surgery Center of Missouri, LLC | Former Legal Business Name - Organization |
| Street Address |
450 N NEW BALLAS RD |
| City | CREVE COEUR |
| State | MO |
| Zip Code | 63141-6835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821500505 | Laser Spine Institute Ll Sole Mbr | Clinic/Center | 450 N New Ballas Rd, Creve Coeur, MO 63141-6835 | 2017-11-02 |
| 1396065744 | Julie Ann Lambert | Nurse Practitioner | 450 N New Ballas Rd, Creve Coeur, MO 63141-6835 | 2010-06-08 |
| 1922260132 | Midwest Hemorrhoid Treatment Center Town & Country LLC | Specialist | 450 N New Ballas Rd, Suite 266, Creve Coeur, MO 63141-6835 | 2008-06-29 |
| 1407927585 | Wcp Laboratories, Inc | Clinical Medical Laboratory | 450 N New Ballas Rd, Creve Coeur, MO 63141-6835 | 2006-11-13 |
| 1700850443 | Betsy F. Clemens | Family Medicine | 450 N New Ballas Rd, Suite 266n, Creve Coeur, MO 63141-6835 | 2006-02-16 |
| 1841285558 | Missouri Imaging Affiliates LLC | Clinic/Center | 450 N New Ballas Rd, Creve Coeur, MO 63141-6835 | 2005-09-19 |
| 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 |
| 1073997144 | North Campus Surgery Center LLC | Clinic/Center | 633 Emerson Rd, #120, Creve Coeur, MO 63141-6739 | 2015-07-17 |
| 1205241361 | Total Joint Center of St. Louis, Lp | Clinic/Center | 760 Office Pkwy, Creve Coeur, MO 63141-7105 | 2014-06-27 |
| Find all providers in CREVE COEUR | ||||
| City | CREVE COEUR |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on LASER SPINE SURGERY CENTER OF ST. LOUIS, 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.