ST. ANTHONY'S PHYSICIAN ORGANIZATION (NPI# 1588026421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588026421 |
| Entity Type | Organization |
| Organization Name | ST. ANTHONY'S PHYSICIAN ORGANIZATION |
| Other Organization Name | MERCY CLINIC SOUTH PHYSICIANS |
| Practice Address |
12700 Southfork Rd Ste 200/220 Saint Louis MO 63128-3201 |
| Mailing Address |
9735 Landmark Parkway Dr Ste 200 Saint Louis MO 63127-1646 |
| Practice Telephone | 3145435942 |
| Practice Fax Number | 3145435947 |
| Mailing Telephone | 3145436985 |
| Mailing Fax Number | 3145436836 |
| Enumeration Date | 2016-03-21 |
| 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 | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mercy Clinic South Physicians | Doing Business As Name - Organization |
| St Anthony's Infectious Disease 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 |
| 1801253612 | St. Anthony's Physician Organization | Family Medicine | 1216 W Main St, Festus, MO 63028-1654 | 2016-01-25 |
| Street Address |
12700 SOUTHFORK RD STE 200/220 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043214778 | Nancy P Bierman Birner | Internal Medicine | 12700 Southfork Rd, Ste 215, Saint Louis, MO 63128-3201 | 2005-06-10 |
| 1437515202 | Rebecca Heimburger | Nurse Practitioner | 12700 Southfork Rd, Ste 230, Saint Louis, MO 63128-3201 | 2016-01-11 |
| 1841660792 | Kelly Ann Wilkens | Nurse Practitioner | 12700 Southfork Rd, Ste 200, Saint Louis, MO 63128-3201 | 2015-10-05 |
| 1346631819 | St. Anthony's Physician Organization | Obstetrics & Gynecology | 12700 Southfork Rd, Ste 230, Saint Louis, MO 63128-3201 | 2015-02-05 |
| 1245641968 | St. Anthony's Physician Organization | Internal Medicine | 12700 Southfork Rd, Ste 270, Saint Louis, MO 63128-3201 | 2014-05-15 |
| 1801218300 | St. Anthony's Physician Organization | Surgery | 12700 Southfork Rd, Suite 255, Saint Louis, MO 63128-3201 | 2014-01-17 |
| 1982952560 | Swati Patolia | Internal Medicine | 12700 Southfork Rd, Ste 200 & 220, Saint Louis, MO 63128-3201 | 2012-08-29 |
| 1780945022 | St Anthony's Physician Organization Private Practices, Lc | Audiologist | 12700 Southfork Rd, Suite 255, Saint Louis, MO 63128-3201 | 2012-06-04 |
| 1932491263 | St Anthony's Physician Organization Specialty Services LLC | Assisted Living Facility | 12700 Southfork Rd, Suite 105, Saint Louis, MO 63128-3201 | 2011-05-04 |
| 1962708727 | Stephanie L Palatt | Audiologist | 12700 Southfork Rd, Suite 255, Saint Louis, MO 63128-3201 | 2011-01-26 |
| 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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528246071 | Rajashree Gottimukkula | Internal Medicine | 3691 Rutger St Ste 100, Drummond Hall, Saint Louis, MO 63110-2515 | 2008-02-07 |
| 1881885044 | Getahun Abate | Internal Medicine | 1100 S. Grand Blvd., Drc-8th Floor, Saint Louis, MO 63104-3325 | 2007-08-05 |
| 1174742753 | Qual-t-med, Inc | Internal Medicine | 1501 Hampton Ave, Saint Louis, MO 63139-3038 | 2007-04-24 |
| 1679629703 | Baligh Ramzi Yehia | Internal Medicine | 4600 Edmundson Rd, Saint Louis, MO 63134 | 2007-01-25 |
| 1215039128 | Guy William Chambers IIi | Internal Medicine | 3009 N Ballas Rd Ste 213b, Saint Louis, MO 63131-2323 | 2006-09-01 |
| 1538177407 | Irene L Graham | Internal Medicine | 1100 S Grand Blvd, Drc 1st Floor, Saint Louis, MO 63104-1015 | 2006-08-04 |
| 1922032994 | Infectious Disease Consultants, Inc. | Internal Medicine | 621 S New Ballas Rd Ste 70b, Saint Louis, MO 63141-8251 | 2006-07-10 |
| 1144250028 | Jad Antoine Khoury | Internal Medicine | 621 S New Ballas Rd # 7018, Saint Louis, MO 63141-8232 | 2006-07-04 |
| 1790344430 | Dr. Otha Myles & Associates, LLC | Internal Medicine | 3915 Watson Rd Ste 203, Saint Louis, MO 63109-1251 | 2019-06-06 |
| 1588222913 | Sasinuch Rutjanawech | Internal Medicine | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-05-31 |
| Find all providers in SAINT LOUIS | ||||
| 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.