PREMIER SURGICAL CENTER LLC NPI 1447613344

NPI Information

  • NPI: 1447613344
  • Provider Name: PREMIER SURGICAL CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 26D2110959
  • Address: 3550 MCKELVEY RD
    BRIDGETON, MO
    ZIP 63044
  • Phone: (314) 218-9655

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NPI Details

PREMIER SURGICAL CENTER LLC is an ambulatory surgical clinic center in Bridgeton, MO. PREMIER SURGICAL CENTER LLC NPI is 1447613344. The provider is registered as an organization entity type.

The provider's business location address is:

3550 MCKELVEY RD
BRIDGETON, MO
ZIP 63044-527
Phone: (314) 218-9655

The provider's authorized official is Harvey Serota .
The authorized official title is Ceo and has the following contact phone number (314) 741-0911.

The CLIA number assigned to this NPI record is 26D2110959 - ambulatory surgery center with a certificate type of Certificate of Accreditation.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Insertion of pacemaker and upper and lower heart chamber electrode (HCPCS:33208)
  • Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist (HCPCS:93460)
  • Removal and replacement of dual lead permanent pacemaker (HCPCS:33228)
  • Insertion of heart rhythm monitor under skin (HCPCS:33285)
  • Removal of heart rhythm monitor from under the skin (HCPCS:33286)

The enumeration date for this NPI number is 3/30/2016 and was last updated on 5/1/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalMISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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