Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

St Louis Specialty Surgical Center LLC

Organization Certified Registered Nurse Anesthetist · NPI 1962958389

St Louis Specialty Surgical Center LLC provides Certified Registered Nurse Anesthetist services in Kirkwood, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1028 S Kirkwood Rd
Kirkwood, MO 63122-7222 Not confirmed with CMS for 10 years — call before visiting
Phone: (314) 394-2950
Fax: (314) 394-2953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2014001570 (MO)

Record details

NPI number1962958389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Horace — Administrator · (618) 973-8740
NPI enumeratedAugust 26, 2016
Last updated in NPPESAugust 26, 2016
Mailing address1028 S Kirkwood Rd, Kirkwood, MO 63122-7222

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