ADVANCED SURGERY CENTER LLC NPI 1619965324

NPI Information

  • NPI: 1619965324
  • Provider Name: ADVANCED SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 26D1017302
  • Address: 12607 OLIVE BLVD
    SAINT LOUIS, MO
    ZIP 63141
  • Phone: (314) 205-1610

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NPI Details

ADVANCED SURGERY CENTER LLC is an ambulatory surgical clinic center in Saint Louis, MO. ADVANCED SURGERY CENTER LLC NPI is 1619965324. The provider is registered as an organization entity type.

The provider's business location address is:

12607 OLIVE BLVD
SAINT LOUIS, MO
ZIP 63141-313
Phone: (314) 205-1610
Fax: (314) 205-1233

The provider's authorized official is Melinda Smith .
The authorized official title is Administrator and has the following contact phone number (314) 205-1610.

The CLIA number assigned to this NPI record is 26D1017302 - ambulatory surgery center with a certificate type of Certificate of Waiver.

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.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Insertion of initial aqueous fluid drainage device into eye (HCPCS:0449T)

The enumeration date for this NPI number is 10/7/2005 and was last updated on 8/11/2014.

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 Surgical132-0MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1506126200MEDICAIDMISSOURI
226C0001074MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

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: 3/30/2025

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