{"npi":"1154318517","type":"NPI-2","status":"active","name":{"display":"Creve Coeur Surgery Center LLC","other":[],"organization_name":"CREVE COEUR SURGERY CENTER LLC","authorised_official":"Carolyn Hollowood"},"specialty":{"primary_taxonomy":"261QA1903X","primary_taxonomy_description":"Ambulatory Surgical Clinic/Center","slug":"ambulatory-surgical-clinic-center","schema_org_specialty":null,"all":[{"code":"261QA1903X","description":"Ambulatory Surgical Clinic/Center","primary":true,"state":"MO","license":"110-4"}]},"addresses":[{"purpose":"LOCATION","street_1":"845 N NEW BALLAS CT","city":"CREVE COEUR","state":"MO","postal_code":"631417148","country_code":"US","street_2":"SUITE 100","phone":"3148727100","fax":"3148720929"},{"purpose":"MAILING","street_1":"845 NORTH NEW BALLAS COURT","city":"CREVE COEUR","state":"MO","postal_code":"631417148","country_code":"US","street_2":"SUITE 100","phone":"3148727100","fax":"3148720929"}],"license":{"state":"MO","number":"110-4"},"identifiers":[{"type_code":"01","label":"Other","value":"112514","state":"MO","issuer":"BCBS PROVIDER NUMBER"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-09-30","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}