MERCY SUPPORT SERVICES NPI 1417999723

NPI Information

NPI: 1417999723
Provider Name: MERCY SUPPORT SERVICES

Former Legal Business Name: ST. JOHN'S MERCY SUPPORT SERVICES

Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Organization

Specialization: Maternal & Fetal Medicine

Address:
615 S NEW BALLAS RD
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-6000
Get Directions

MERCY SUPPORT SERVICES is a maternal and fetal medicine obstetrics gynecology in Saint Louis, MO. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. MERCY SUPPORT SERVICES NPI is 1417999723. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is St. John's Mercy Support Services.

The provider's business location address is:

615 S NEW BALLAS RD
SAINT LOUIS, MO
ZIP 63141-221
Phone: (314) 251-6000

The provider's authorized official is Jeffrey A. Johnston .
The authorized official title is President, Mercy Hospital St. Louis and has the following contact phone number (314) 251-1932.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 5/8/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	No
3	208100000X	Physical Medicine & Rehabilitation		No
4	2086S0129X	Surgery	Vascular Surgery	No
5	208800000X	Urology		No
6	207VM0101X	Obstetrics & Gynecology	Maternal & Fetal Medicine	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000013485	MEDICARE ID-TYPE UNSPECIFIED
2	505706101	MEDICAID	MISSOURI

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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