Olive Ambulatory Surgery Center, LLC
NPI 1588739858 · Ambulatory Surgical Clinic/Center · Saint Louis, MO
Olive Ambulatory Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Saint Louis, MO (NPI 1588739858).
Provider details
- NPI number
- 1588739858
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jenetha Moran, Officer / Authorized Official(972) 763-3893
- License
- 177 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Olive Surgery Center
Registry dates
- Enumerated
- 2006-11-22
- Last updated
- 2017-01-05
Frequently asked questions
- What is Olive Ambulatory Surgery Center, LLC's NPI number?
- Olive Ambulatory Surgery Center, LLC's National Provider Identifier (NPI) is 1588739858, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Olive Ambulatory Surgery Center, LLC?
- Olive Ambulatory Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Olive Ambulatory Surgery Center, LLC located?
- Olive Ambulatory Surgery Center, LLC's practice location on file with NPPES is 12101 Woodcrest Executive Dr, Saint Louis, MO 63141-5047.
- What is Olive Ambulatory Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Olive Ambulatory Surgery Center, LLC is (314) 576-4500.
- Who is the authorized official for Olive Ambulatory Surgery Center, LLC?
- The authorized official listed on Olive Ambulatory Surgery Center, LLC's NPPES record is Jenetha Moran, Officer / Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Olive Ambulatory Surgery Center, LLC's NPI active?
- Yes — Olive Ambulatory Surgery Center, LLC's NPI (1588739858) is active in the NPPES registry as of the last update on 2017-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.