Organization · Type 2 NPI

Pcasc, LLC

Ambulatory Surgical Clinic/Center · Platte City, MO

NPI number 1013890813 Active

Practice location

1101 Kentucky Ave
Platte City, MO 64079-7720

Fax (816) 422-5979

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed

Ambulatory Surgical Clinic/Center: Definition to come...

NPI record

NPI: 1013890813
Entity type: Organization (Type 2)
Issued: Jul 29, 2025
Last updated: Oct 19, 2026
Status: Active

Other names

<unavail>
Surgery Center of the Northland · doing business as
Surgery Center of the Northland · doing business as

Authorized official

Blake E Peterson, MD
Board Chair
(816) 422-5980

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About NPI 1013890813

Pcasc, LLC's National Provider Identifier is 1013890813, issued on Jul 29, 2025. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Platte City, MO. The record was last updated on Oct 19, 2026.