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

Olive Ambulatory Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1588739858

Olive Ambulatory 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.

See every abbreviation used in this directory →

Practice location Address checks out

12101 Woodcrest Executive Dr Ste 101
Saint Louis, MO 63141-5047
Phone: (314) 576-4500
Fax: (314) 576-4503
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 177 (MO)

Record details

NPI number1588739858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenetha Moran — Officer / Authorized Official · (972) 763-3893
Other names Olive Surgery Center
NPI enumeratedNovember 22, 2006
Last updated in NPPESJanuary 5, 2017
Mailing address12101 Woodcrest Executive Dr, Ste 101, Saint Louis, MO 63141-5047

Other providers in Saint Louis