# SQUARE ONE SURGICAL ASSOCIATES

> 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
- **Other names:** Andrew Sheridan
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366183097
- **Authorized official:** ANDREW SHERIDAN CSFA (CSFA)
- **Authorized official phone:** (636) 346-8182

## Contact information

- **Practice address:** 15524 GOLDEN RIDGE CT, CHESTERFIELD, MO 63017-5124
- **Practice address phone:** (636) 346-8182
- **Mailing address:** 15524 GOLDEN RIDGE CT, CHESTERFIELD, MO 63017-5124
- **Mailing address phone:** (636) 346-8182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 246ZC0007X | Surgical Assistant | — | NULL | — |
| 246ZC0007X | Surgical Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2022
- **Last updated:** 05/06/2022