OLD TESSON SURGERY CENTER L.P. NPI 1104082692

NPI Information

  • NPI: 1104082692
  • Provider Name: OLD TESSON SURGERY CENTER, L.P.
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: OLD TESSON SURGERY CENTER
  • CLIA Number: 26D0985652
  • Address: 12639 OLD TESSON RD
    STE 130
    SAINT LOUIS, MO
    ZIP 63128
  • Phone: (314) 729-0785

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NPI Details

OLD TESSON SURGERY CENTER, L.P. is an ambulatory surgical clinic center in Saint Louis, MO. OLD TESSON SURGERY CENTER, L.P. NPI is 1104082692. The provider is registered as an organization entity type.
The provider Is Doing Business As Old Tesson Surgery Center.

The provider's business location address is:

12639 OLD TESSON RD
STE 130
SAINT LOUIS, MO
ZIP 63128-786
Phone: (314) 729-0785
Fax: (314) 667-3629

The provider's authorized official is Christopher Hartshorn .
The authorized official title is Officer/authorized Official and has the following contact phone number (314) 800-2017.

The CLIA number assigned to this NPI record is 26D0985652 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Release and/or relocation of elbow nerve (HCPCS:64718)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)

The enumeration date for this NPI number is 8/4/2008 and was last updated on 10/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical129-4MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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