MANCHESTER AMBULATORY SURGERY CENTER LP (NPI# 1740673953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740673953 |
| Entity Type | Organization |
| Organization Name | MANCHESTER AMBULATORY SURGERY CENTER LP |
| Other Organization Name | DES PERES SQUARE SURGERY CENTER |
| Practice Address |
1050 Old Des Peres Rd Suite 150 Saint Louis MO 63131-1873 |
| Mailing Address |
15305 Dallas Pkwy Suite 1600 Addison TX 75001-4637 |
| Practice Telephone | 3145692918 |
| Practice Fax Number | 3145699473 |
| Mailing Telephone | 9727633893 |
| Mailing Fax Number | 9726926745 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2016-04-26 |
| Authorized Official Name | LORI MELTNER (ADMINSTRATOR) |
| Authorized Official Telephone | 3145692918 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | LICENSE | 171 | 01 |
| Other Name | Type Code |
|---|---|
| Des Peres Square Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477698009 | Manchester Ambulatory Surgery Center Lp | Clinic/Center | 1040 Old Des Peres Rd, Des Peres, MO 63131-1865 | 2007-02-21 |
| Street Address |
1050 OLD DES PERES RD SUITE 150 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-1873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155314 | Rueschhoff Physical Therapy Inc | Occupational Therapist | 1050 Old Des Peres Rd, Ste 40, Saint Louis, MO 63131-1873 | 2005-06-24 |
| 1093130486 | Angela Grainger Gauthier | Physician Assistant | 1050 Old Des Peres Rd, Suite 100, Saint Louis, MO 63131-1873 | 2014-02-21 |
| 1316236409 | Mohammed Imran Paracha | Anesthesiology | 1050 Old Des Peres Rd, Suite 100, Saint Louis, MO 63131-1873 | 2011-03-29 |
| 1114182169 | Christy Dow | Occupational Therapist | 1050 Old Des Peres Rd, Suite 40, Saint Louis, MO 63131-1873 | 2008-07-18 |
| 1518161355 | Christopher David Mudd | Orthopaedic Surgery | 1050 Old Des Peres Rd, Ste 100, Saint Louis, MO 63131-1873 | 2007-06-14 |
| 1568682375 | Bethanie Dinan | Physician Assistant | 1050 Old Des Peres Rd, Suite 100, Saint Louis, MO 63131-1873 | 2007-04-26 |
| 1912032020 | Orthopedic Associates, LLC | Durable Medical Equipment & Medical Supplies | 1050 Old Des Peres Rd, Suite 100, Saint Louis, MO 63131-1873 | 2007-02-22 |
| 1295888436 | Robert Kramer | Orthopaedic Surgery | 1050 Old Des Peres Rd, Suite 100, Saint Louis, MO 63131-1873 | 2007-01-19 |
| 1144373341 | William Feinstein | Orthopaedic Surgery | 1050 Old Des Peres Rd, Suite 100, Saint Louis, MO 63131-1873 | 2007-01-19 |
| 1720159775 | Orthopedic Associates, LLC | Orthopaedic Surgery | 1050 Old Des Peres Rd, Suite 100, Saint Louis, MO 63131-1873 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925180 | Metro St Louis Surgery Center LLC | Clinic/Center | 1035 Bellevue Ave Ste 117, Saint Louis, MO 63117-1854 | 2019-01-04 |
| 1295207587 | Commons South Surgery Center, LLC | Clinic/Center | 12345 W Bend Dr Ste 201, Saint Louis, MO 63128-2254 | 2018-12-26 |
| 1922574391 | The Phoenix Oversight and Consulting, LLC. | Clinic/Center | 7746 Rannells Ave, Saint Louis, MO 63143-1823 | 2018-10-23 |
| 1700363611 | Apollo Ambulatory Surgery Center, LLC | Clinic/Center | 10012 Manchester Rd, Saint Louis, MO 63122-1826 | 2018-07-24 |
| 1730698374 | Advanced Surgical Center of Sunset Hills LLC | Clinic/Center | 4594 S Lindbergh Blvd, Saint Louis, MO 63127 | 2017-09-27 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1114317757 | Midamerica Spine Center, LLC | Clinic/Center | 13627 Big Bend Rd, Saint Louis, MO 63122-3915 | 2015-02-04 |
| 1528210770 | South County Outpatient Endoscopy Services, Lp | Clinic/Center | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128 | 2008-10-21 |
| 1376692681 | Healthmark Brentwood LLC | Clinic/Center | 450 N Lindbergh Blvd Ste A, Saint Louis, MO 63141-7848 | 2007-01-09 |
| 1619026952 | Healthmark Ballas LLC | Clinic/Center | 456 N New Ballas Rd Ste 266, Saint Louis, MO 63141-6842 | 2007-01-09 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63131 |
Please comment or provide details below to improve the information on MANCHESTER AMBULATORY SURGERY CENTER LP.
| 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.