OrganizationActive
The Phoenix Oversight and Consulting, LLC.
NPI 1922574391 · Ambulatory Surgical Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1922574391
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathan Kidd, Owner/Chief Operating Officer(217) 821-0759
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
7746 Rannells Ave
Saint Louis, MO 63143-1823
Phone: (636) 226-4159
Street-level locationGet directions
Mailing address
5856 S Lowell Blvd # 32-403
Littleton, CO 80123-7915
Additional practice locations (1)
- 1737 W Powers AveLittleton, CO 80120-1209Phone: (217) 821-0759
Registry dates
- Enumerated
- 2018-10-23
- Last updated
- 2018-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.