DR. TENNER JOHAN GUILLAUME MD
NPI 1215133129
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Saint Paul, MN

Q: What is Tenner Guillaume's NPI number?

The NPI number for Tenner Guillaume is 1215133129. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Q: What is Tenner Guillaume's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Tenner Guillaume was last updated on December 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 26, 2007PECOS EnrolledAccepts Medicare Assignment

200 UNIVERSITY AVE E, GILLETTE CHILDREN'S SPECIALTY HEALTHCARE, SAINT PAUL, MN 55101(651) 578-5197(651) 312-3188 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Tenner Johan Guillaume Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TENNER JOHAN GUILLAUME MD (NPI 1215133129) is an individual orthopaedic surgery of the spine provider in Saint Paul, Minnesota, licensed in Minnesota (53014) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Gillette Childrens Specialty Hospital, and is a graduate of University Of Minnesota Medical School (2005).

NPPES Registry Identity

NPI1215133129

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameDR. TENNER JOHAN GUILLAUMECredential: MD

Location Address200 UNIVERSITY AVE E, GILLETTE CHILDREN'S SPECIALTY HEALTHCARESaint Paul, MN 55101-2507

Mailing Address200 University Ave E, Gillette Children's Specialty HealthcareSaint Paul, MN 55101-2507 · (651) 578-5197 · Fax (651) 312-3188

Phone(651) 578-5197

Fax(651) 312-3188

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2005

Enumeration DateJune 26, 2007

Last NPPES UpdateDecember 1, 2011

✔ NPI 1215133129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in MN · 53014

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License A99345 (CA)

200 UNIVERSITY AVE E, Saint Paul, MN 55101

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tenner Johan Guillaume Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800083536

PECOS Enrollment IDI20101207001369

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gillette Childrens Specialty Hospital

Childrens · Saint Paul, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number243300

Location200 University Avenue EastSaint Paul, MN 55106 · Ramsey County

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMILLE FENG

Social Worker (Clinical)