MERCY CLINIC KIDS PLASTIC SURGERY LLC NPI 1942330477

NPI Information

  • NPI: 1942330477
  • Provider Name: MERCY CLINIC KIDS PLASTIC SURGERY, LLC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • :
  • Address: 621 S NEW BALLAS RD
    SUITE 260-A
    SAINT LOUIS, MO
    ZIP 63141
  • Phone: (314) 251-4772

Map and Directions

Get Directions

NPI Details

MERCY CLINIC KIDS PLASTIC SURGERY, LLC is a plastic and reconstructive surgery surgery in Saint Louis, MO. The provider is a surgeon who specializes in plastic and reconstructive surgery. MERCY CLINIC KIDS PLASTIC SURGERY, LLC NPI is 1942330477. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

621 S NEW BALLAS RD
SUITE 260-A
SAINT LOUIS, MO
ZIP 63141-232
Phone: (314) 251-4772
Fax: (314) 251-5772

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 enumeration date for this NPI number is 3/6/2007 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 License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.