OrganizationActive
Mason Ridge Surgery Center, LLC
NPI 1396796595 · Ambulatory Surgical Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1396796595
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christopher Rothrock, President(314) 878-7150
- License
- 180-0 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12855 N Outer 40
Suite 100
Saint Louis, MO 63141-8635
Phone: (314) 878-7150
Fax: (314) 878-3051
Approximate (ZIP-level) locationGet directions
Mailing address
12855 N Outer 40
Saint Louis, MO 63141-8635
Registry dates
- Enumerated
- 2006-05-12
- Last updated
- 2008-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.