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

Square One Surgical Associates

Organization Surgery Physician · NPI 1366183097

Square One Surgical Associates is a Surgery Physician in Chesterfield, Missouri. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3

Practice location Address checks out

15524 Golden Ridge Ct
Chesterfield, MO 63017-5124
Phone: (636) 346-8182
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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
Surgery Physician Taxonomy 208600000X
Surgical Assistant Taxonomy 246ZC0007X

Record details

NPI number1366183097
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Sheridan — Csfa · (636) 346-8182
Other names Andrew Sheridan; Andrew Sheridan
NPI enumeratedApril 5, 2022
Last updated in NPPESMay 6, 2022
Certification dateMay 6, 2022
Mailing address15524 Golden Ridge Ct, Chesterfield, MO 63017-5124

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