OrganizationActive
Surgery Specialists of Missouri LLC
NPI 1487811873 · Specialist · Saint Louis, MO
Surgery Specialists of Missouri LLC is a Specialist organization in Saint Louis, MO (NPI 1487811873).
Provider details
- NPI number
- 1487811873
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Van Wagner, Member(314) 776-7112
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10007 Kennerly Rd
Suite a
Saint Louis, MO 63128-2179
Phone: (314) 776-7112
Fax: (314) 776-7114
Street-level locationGet directions
Mailing address
Po Box 29255
Saint Louis, MO 63126-0255
Registry dates
- Enumerated
- 2008-05-22
- Last updated
- 2013-07-29
Frequently asked questions
- What is Surgery Specialists of Missouri LLC's NPI number?
- Surgery Specialists of Missouri LLC's National Provider Identifier (NPI) is 1487811873, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgery Specialists of Missouri LLC?
- Surgery Specialists of Missouri LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Surgery Specialists of Missouri LLC located?
- Surgery Specialists of Missouri LLC's practice location on file with NPPES is 10007 Kennerly Rd, Saint Louis, MO 63128-2179.
- What is Surgery Specialists of Missouri LLC's phone number?
- The practice phone number listed in the NPPES registry for Surgery Specialists of Missouri LLC is (314) 776-7112.
- Who is the authorized official for Surgery Specialists of Missouri LLC?
- The authorized official listed on Surgery Specialists of Missouri LLC's NPPES record is Van Wagner, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgery Specialists of Missouri LLC's NPI active?
- Yes — Surgery Specialists of Missouri LLC's NPI (1487811873) is active in the NPPES registry as of the last update on 2013-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.