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MERCY CLINIC CHILDREN'S INFECTIOUS DISEASE LLC NPI 1518274489


NPI Information

NPI: 1518274489
Provider Name: MERCY CLINIC CHILDREN'S INFECTIOUS DISEASE, LLC

Former Legal Business Name: MERCY PEDIATRIC ID SPECIALISTS

Classification: Pediatrics - 2080P0208X
Entity Type: Organization

Specialization: Pediatric Infectious Diseases

Address:
621 S NEW BALLAS RD
SUITE 674-A
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-6831
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MERCY CLINIC CHILDREN'S INFECTIOUS DISEASE, LLC is a pediatric infectious diseases pediatrics in Saint Louis, MO. The provider is a pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. MERCY CLINIC CHILDREN'S INFECTIOUS DISEASE, LLC NPI is 1518274489. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Mercy Pediatric Id Specialists.

The provider's business location address is:

621 S NEW BALLAS RD
SUITE 674-A
SAINT LOUIS, MO
ZIP 63141-232
Phone: (314) 251-6831
Fax: (314) 251-5430

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 9/13/2010 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
12080P0208XPediatricsPediatric Infectious DiseasesYes

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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