ST. ANTHONY'S PHYSICIAN ORGANIZATION NPI 1467648634

NPI Information

  • NPI: 1467648634
  • Provider Name: ST. ANTHONY'S PHYSICIAN ORGANIZATION
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: MERCY CLINIC SOUTH PHYSICIANS
  • CLIA Number: 26D0929220
  • Address: 714 GRAVOIS RD
    STE 210
    FENTON, MO
    ZIP 63026
  • Phone: (314) 543-5230

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NPI Details

ST. ANTHONY'S PHYSICIAN ORGANIZATION is a family medicine in Fenton, 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 1467648634. 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:

714 GRAVOIS RD
STE 210
FENTON, MO
ZIP 63026-723
Phone: (314) 543-5230
Fax: (636) 717-6730

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 26D0929220 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2007 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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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