Tesson Heights Orthopedic

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

TESSON HEIGHTS ORTHOPEDIC

Doing business as

South County Open MRI

Practice address

12152 Tesson Ferry Rd
Saint Louis, MO 63128-1726

Phone

(314) 714-1023

Fax

(314) 714-1068

NPI assigned

Mar 4, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sherri L Rainwater

Title

Billing Department Supervisor

Phone

(314) 849-5414

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• South County Open MRI Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David B Fagan, M.D.

  • Orthopaedic Surgery Physician
  • Saint Louis, MO
  • NPI 1952354763
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1538339841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12152 TESSON FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281726",
            "telephone_number": "314-714-1023",
            "fax_number": "314-714-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12152 TESSON FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281726",
            "telephone_number": "314-714-1023",
            "fax_number": "314-714-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESSON HEIGHTS ORTHOPEDIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "RAINWATER",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING DEPARTMENT SUPERVISOR",
        "authorized_official_telephone_number": "314-849-5414"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "339421",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South County Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teshuvah Healthcare LLC
• Deron J Tessier, MD
• John E Tessier, M.D.
• Molly Ann Tessin
• Tesson Heights Orthopaedic & Arthroscopic Associates PC
• Chelsea Rana Testorff, COUNSELOR INTERN
• Paivi A. Tetri, M.S.W., L.C.S.W
• Stephanie Anne Tetteroo
• Kathryn Tettinger
• Tettlebaum Therapy LLC

• Magnetic Resonance Imaging (MRI) Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.