ST. ANTHONY'S PHYSICIAN ORGANIZATION NPI 1225425630

NPI Information

NPI: 1225425630
Provider Name: ST. ANTHONY'S PHYSICIAN ORGANIZATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Doing Business As: MERCY CLINIC SOUTH PHYSICIANS
CLIA Number: 26D2053600
Address: 215 THRESHER DR
EUREKA, MO
ZIP 63025
Phone: (314) 543-5968

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NPI Details

ST. ANTHONY'S PHYSICIAN ORGANIZATION is a family medicine in Eureka, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST. ANTHONY'S PHYSICIAN ORGANIZATION NPI is 1225425630. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mercy Clinic South Physicians.

The provider's business location address is:

215 THRESHER DR
EUREKA, MO
ZIP 63025-923
Phone: (314) 543-5968
Fax: (314) 543-5918

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 CLIA number assigned to this NPI record is 26D2053600 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2015 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family 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	000015644	OTHER	MISSOURI	MEDICARE GROUP PTAN #

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: 11/21/2025

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