ST. ANTHONY'S PHYSICIAN ORGANIZATION NPI 1962776005

NPI Information

  • NPI: 1962776005
  • Provider Name: ST. ANTHONY'S PHYSICIAN ORGANIZATION
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: MERCY CLINIC SOUTH PHYSICIANS
  • CLIA Number: 26D0859318
  • Address: 7345 WATSON RD
    SAINT LOUIS, MO
    ZIP 63119
  • Phone: (314) 752-7100

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NPI Details

ST. ANTHONY'S PHYSICIAN ORGANIZATION is a multi-specialty clinic center in Saint Louis, MO. ST. ANTHONY'S PHYSICIAN ORGANIZATION NPI is 1962776005. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Clinic South Physicians.

The provider's business location address is:

7345 WATSON RD
SAINT LOUIS, MO
ZIP 63119-405
Phone: (314) 752-7100
Fax: (314) 752-3284

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 26D0859318 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2012 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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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
1000015644OTHERMISSOURIMEDICARE 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: 3/30/2025

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