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MATTIS ROAD SURGERY CENTER LLC
NPI 1720969504
Surgery in Saint Louis, MO

Active since September 09, 2025
5139 MATTIS RD STE 100, SAINT LOUIS, MO 63128(314) 952-8001 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mattis Road Surgery Center Llc NPPES

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

MATTIS ROAD SURGERY CENTER LLC (NPI 1720969504) is a healthcare organization registered as a surgery in Saint Louis, Missouri and active in the NPI registry since September 2025. The organization lists John Kessler, Administrator, as its authorized official.

NPPES Registry Identity

NPI1720969504
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMATTIS ROAD SURGERY CENTER LLC
Location Address5139 MATTIS RD STE 100Saint Louis, MO 63128-2250
Mailing Address5139 Mattis Rd Ste 100Saint Louis, MO 63128-2250 · (314) 952-8001
Phone(314) 952-8001
Organization SubpartNo
Authorized OfficialJohn KesslerAdministrator · (314) 952-8001
Enumeration DateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1720969504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mattis Road Surgery Center LLC's NPI number?

The NPI number for Mattis Road Surgery Center LLC is 1720969504. It was assigned to this organization in the NPPES registry on September 9, 2025.

Where is Mattis Road Surgery Center LLC located?

Mattis Road Surgery Center LLC is located at 5139 Mattis Rd Ste 100, Saint Louis, MO 63128. The listed phone number is (314) 952-8001.

What is Mattis Road Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Mattis Road Surgery Center LLC was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.