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MERCY CLINIC TRAUMA AND GENERAL SURGERY LLC NPI 1699825695


NPI Information

NPI: 1699825695
Provider Name: MERCY CLINIC TRAUMA AND GENERAL SURGERY, LLC
Classification: Surgery - 2086S0127X
Entity Type: Organization

Specialization: Trauma Surgery

Address:
621 S NEW BALLAS RD
SUITE 560-A
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-6440
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MERCY CLINIC TRAUMA AND GENERAL SURGERY, LLC is a trauma surgery surgery in Saint Louis, MO. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. MERCY CLINIC TRAUMA AND GENERAL SURGERY, LLC NPI is 1699825695. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

621 S NEW BALLAS RD
SUITE 560-A
SAINT LOUIS, MO
ZIP 63141-232
Phone: (314) 251-6440
Fax: (314) 251-4456

The provider's authorized official is Raymond Weick .
The authorized official title is President and has the following contact phone number (636) 458-0083.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 11/29/2023.


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
1207X00000XOrthopaedic SurgeryMISSOURINo
22086S0127XSurgeryTrauma SurgeryMISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1506063700MEDICAIDMISSOURI

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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