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MERCY CLINIC GERIATRICS LLC NPI 1053441592


NPI Information

NPI: 1053441592
Provider Name: MERCY CLINIC GERIATRICS, LLC

Former Legal Business Name: MERCY GERIATRICS

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
621 S NEW BALLAS RD
SUITE 6017-B
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-6285
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MERCY CLINIC GERIATRICS, LLC is a geriatric medicine internal medicine in Saint Louis, MO. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. MERCY CLINIC GERIATRICS, LLC NPI is 1053441592. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Mercy Geriatrics.

The provider's business location address is:

621 S NEW BALLAS RD
SUITE 6017-B
SAINT LOUIS, MO
ZIP 63141-232
Phone: (314) 251-6285
Fax: (314) 251-4173

The provider's authorized official is John W. Hubert .
The authorized official title is President and has the following contact phone number (314) 251-1700.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 5/5/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000014439MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

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: 11/14/2023

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