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PHYSICIANS OF ST ANTHONYS MEDICAL CENTER LC NPI 1215166988


NPI Information

NPI: 1215166988
Provider Name: PHYSICIANS OF ST ANTHONYS MEDICAL CENTER LC

Doing Business As: MERCY CLINIC SOUTH SUPPORT SERVICE PHYSICIANS

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 525-1000
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PHYSICIANS OF ST ANTHONYS MEDICAL CENTER LC is an emergency medicine in Saint Louis, MO. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. PHYSICIANS OF ST ANTHONYS MEDICAL CENTER LC NPI is 1215166988. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mercy Clinic South Support Service Physicians.

The provider's business location address is:

10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128-106
Phone: (314) 525-1000

The provider's authorized official is Cheryl Matejka .
The authorized official title is Cfo East Communities & Sfo and has the following contact phone number (314) 251-1958.

The enumeration date for this NPI number is 7/2/2009 and was last updated on 1/4/2019.


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
11041C0700XSocial WorkerClinicalNo
2207RC0200XInternal MedicineCritical Care MedicineNo
3207V00000XObstetrics & GynecologyNo
42080P0204XPediatricsPediatric Emergency MedicineNo
5207Q00000XFamily MedicineNo
6207R00000XInternal MedicineNo
7207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
8207P00000XEmergency MedicineYes

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: 4/28/2024

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