ST. ANTHONY'S PHYSICIAN ORGANIZATION (NPI# 1023425329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023425329 |
Entity Type | Organization |
Organization Name | ST. ANTHONY'S PHYSICIAN ORGANIZATION |
Other Organization Name | MERCY CLINIC SOUTH PHYSICIANS |
Practice Address |
10010 Kennerly Rd Attn: Cancer Care Center Saint Louis MO 63128-2106 |
Practice Telephone | 3145251688 |
Practice Fax Number | 3145251689 |
Mailing Telephone | 3145251688 |
Mailing Fax Number | 3145251689 |
Enumeration Date | 2014-07-18 |
Last Update Date | 2019-01-04 |
Authorized Official Name | MS. CHERYL MATEJKA (CFO EAST COMMUNITIES & SFO) |
Authorized Official Telephone | 3142511958 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
273-39 | MO | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Mercy Clinic South Physicians | Doing Business As Name - Organization |
St. Anthony's Radiation Oncology Specialists | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801254164 | St. Anthony's Physician Organization | Orthopaedic Surgery | 12700 Southfork Rd Ste 100, Saint Louis, MO 63128-3201 | 2016-02-02 |
1124439708 | St. Anthony's Physician Organization | Assisted Living Facility | 9735 Landmark Parkway Dr Ste 200, Saint Louis, MO 63127-1666 | 2014-05-16 |
1992127492 | St. Anthony's Physician Organization | Psychiatry & Neurology | 10020 Kennerly Rd Fl 2, Saint Louis, MO 63128-2106 | 2014-01-17 |
1659793305 | St. Anthony's Physician Organization | Internal Medicine | 12700 Southfork Rd Ste 200, Saint Louis, MO 63128-3201 | 2014-01-15 |
1396065041 | St. Anthony's Physician Organization | Internal Medicine | 12700 Souhtfork Road, Suite 200, Saint Louis, MO 63128-2106 | 2010-06-04 |
1538495353 | St. Anthony's Physician Organization | Internal Medicine | 1001 S Kirkwood Rd Ste 300, Saint Louis, MO 63122-7250 | 2009-10-29 |
1487819512 | St. Anthony's Physician Organization | Internal Medicine | 10296 Big Bend Blvd, Suite 111, Kirkwood, MO 63122 | 2008-07-29 |
1871093690 | St. Anthony's Physician Organization | Internal Medicine | 10012 Kennerly Rd Ste 102, Saint Louis, MO 63128-2197 | 2018-02-19 |
1578917464 | St. Anthony's Physician Organization | Internal Medicine | 1001 S Kirkwood Rd, Ste 300, Saint Louis, MO 63122-7254 | 2016-04-18 |
1588026421 | St. Anthony's Physician Organization | Internal Medicine | 12700 Southfork Rd, Ste 200/220, Saint Louis, MO 63128-3201 | 2016-03-21 |
Street Address |
10010 KENNERLY RD ATTN: CANCER CARE CENTER |
City | SAINT LOUIS |
State | MO |
Zip Code | 63128-2106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659374908 | Udayshanker Kasinadhuni | Anesthesiology | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2005-05-31 |
1598376287 | Laura Mayer | Dietitian, Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-08-14 |
1265042014 | Caitlin E Wagner | Anesthesiologist Assistant | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-08-06 |
1881215424 | Samantha Broughton | Nurse Practitioner | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-05-06 |
1437779444 | Kathleen Stebe | Physical Therapist | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-04-20 |
1073148052 | Carly Pruemer | Nurse Anesthetist, Certified Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-03-10 |
1568097541 | Altan Halici | Nurse Anesthetist, Certified Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-03-10 |
1326673310 | Rhyz Wilson | Nurse Anesthetist, Certified Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-03-10 |
1669007654 | Megan Hahn | Nurse Anesthetist, Certified Registered | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-03-10 |
1851925085 | Katie Walsh | Nurse Practitioner | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-02-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
Find all providers in zip 63128 |
Taxonomy Code | 261QX0203X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Oncology, Radiation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710359989 | Northpoint Radiation Center Gp, LLC | Clinic/Center | 450 N New Ballas Rd Ste 70w, Saint Louis, MO 63141-6833 | 2015-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336228949 | Cancer Institute of Cape Girardeau, LLC | Clinic/Center | 14 Doctors Park, Suite B, Cape Girardeau, MO 63703-4928 | 2006-11-03 |
1912381005 | Saint Lukes Radiation Therapy-liberty LLC | Clinic/Center | 2529 Glenn Hendren Dr, Suite G40, Liberty, MO 64068-9606 | 2015-07-17 |
1639508146 | Ssm Regional Health Services | Clinic/Center | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2013-11-05 |
1154376465 | Ssm St. Joseph Health Center | Clinic/Center | 1475 Kisker Rd, Suite 190, Saint Charles, MO 63304-8781 | 2006-05-24 |
City | SAINT LOUIS |
Zip Code | 63128 |
Please comment or provide details below to improve the information on ST. ANTHONY'S PHYSICIAN ORGANIZATION.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.