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

Surgery Specialists of Missouri LLC

Organization Specialist · NPI 1487811873

Surgery Specialists of Missouri LLC is a Specialist 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
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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