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

Surgery Specialists of Missouri LLC

Organization Specialist · NPI 1487811873

Surgery Specialists of Missouri LLC provides Specialist services in Saint Louis, Missouri. Registered with an NPI since 2008.

In the registry since
2008
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

10007 Kennerly Rd Ste A
Saint Louis, MO 63128-2179 Not confirmed with CMS for 13 years — call before visiting
Phone: (314) 776-7112
Fax: (314) 776-7114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1487811873
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Van Wagner — Member · (314) 776-7112
NPI enumeratedMay 22, 2008
Last updated in NPPESJuly 29, 2013
Mailing addressPo Box 29255, Saint Louis, MO 63126-0255

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