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

Mason Ridge Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1396796595

Mason Ridge Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
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

12855 N Outer 40 Ste 100
Saint Louis, MO 63141-8635
Phone: (314) 878-7150
Fax: (314) 878-3051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 180-0 (MO)

Record details

NPI number1396796595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Rothrock — President · (314) 878-7150
NPI enumeratedMay 12, 2006
Last updated in NPPESMarch 17, 2008
Mailing address12855 N Outer 40, Suite 100, Saint Louis, MO 63141-8635

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