OrganizationActive
Manchester Ambulatory Surgery Center Lp
NPI 1477698009 · Ambulatory Surgical Clinic/Center · Des Peres, MO
Provider details
- NPI number
- 1477698009
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alexandra Jenkins, Officer of General Partner Company(972) 713-3514
- License
- 163-1 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1040 Old Des Peres Rd
Des Peres, MO 63131-1865
Phone: (314) 775-2264
Fax: (314) 775-2271
Street-level locationGet directions
Mailing address
1040 Old Des Peres Rd
Des Peres, MO 63131-1865
Other names (DBA / former)
- Doing business as
- Manchester Surgery Center
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2012-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.