# NEUROSURGICAL SPECIALISTS OF WEST COUNTY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053687079
- **Authorized official:** MS. ANGELA ROSE GENISIO PA-C (PA-C)
- **Authorized official phone:** (314) 251-6364

## Contact information

- **Practice address:** 621 S NEW BALLAS RD, SUITE 297A, SAINT LOUIS, MO 63141-8232
- **Practice address phone:** (314) 251-6364
- **Practice address fax:** (314) 251-7897
- **Mailing address:** 621 S NEW BALLAS RD, SUITE 297A, SAINT LOUIS, MO 63141-8232
- **Mailing address phone:** (314) 251-6364
- **Mailing address fax:** (314) 251-7897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 2012027914 | MO | Yes |

## Other

- **Enumeration date:** 03/23/2012
- **Last updated:** 11/02/2012