Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cutting Edge Surgical Services, LLC

Organization Surgical Physician Assistant · NPI 1063233583

Cutting Edge Surgical Services, LLC is a Surgical Physician Assistant in Saint Louis, Missouri. Registered with an NPI since 2024.

In the registry since
2024
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

2840 Clark Ave
Saint Louis, MO 63103-2506
Phone: (214) 227-2457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1063233583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Thacker — Rnfa · (214) 227-2457
NPI enumeratedOctober 17, 2024
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing address2796 Kings Crossing Dr, Barnhart, MO 63012-1174

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