MERCY CLINIC ST. LOUIS CANCER AND BREAST INSTITUTE LLC NPI 1891946349

NPI Information

NPI: 1891946349
Provider Name: MERCY CLINIC ST. LOUIS CANCER AND BREAST INSTITUTE, LLC
Classification: Surgery - 2086X0206X
Specialization: Surgical Oncology
Entity Type: Organization
:
CLIA Number: 26D0436845
Address: 621 S NEW BALLAS RD STE 260A
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-8001

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NPI Details

MERCY CLINIC ST. LOUIS CANCER AND BREAST INSTITUTE, LLC is a surgical oncology surgery in Saint Louis, MO. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. MERCY CLINIC ST. LOUIS CANCER AND BREAST INSTITUTE, LLC NPI is 1891946349. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

621 S NEW BALLAS RD STE 260A
SAINT LOUIS, MO
ZIP 63141-256
Phone: (314) 251-8001
Fax: (314) 256-5043

The provider's authorized official is Kerry Dunger .
The authorized official title is Executive Director - Finance and has the following contact phone number (314) 364-3707.

The CLIA number assigned to this NPI record is 26D0436845 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2008 and was last updated on 4/25/2025.

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	207RH0000X	Internal Medicine	Hematology	No
2	207RX0202X	Internal Medicine	Medical Oncology	No
3	2085R0001X	Radiology	Radiation Oncology	No
4	2086X0206X	Surgery	Surgical Oncology	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	504721903	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: 3/30/2025

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