MERCY CLINIC EAST COMMUNITIES (NPI# 1700370061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700370061 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC EAST COMMUNITIES |
| Practice Address |
15945 Clayton Rd Ste 310 Ballwin MO 63011-2493 |
| Practice Telephone | 6368931356 |
| Practice Fax Number | 6368931358 |
| Mailing Telephone | 6368931356 |
| Mailing Fax Number | 6368931358 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | LESLIE S. FERGUSON (MERCY REVENUE MANAGEMENT) |
| Authorized Official Telephone | 3143644347 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720635329 | Mercy Clinic East Communities | Family Medicine | 10004 Kennerly Rd Ste 395b, Saint Louis, MO 63128-2190 | 2019-08-20 |
| 1164857397 | Mercy Clinic East Communities | Clinic/Center | 16555 Manchester Rd Ste 110, Wildwood, MO 63040-1220 | 2013-09-06 |
| 1235493776 | Mercy Clinic East Communities | Clinic/Center | 125 N Old Highway 66, Bourbon, MO 65441-6298 | 2012-06-29 |
| 1285998724 | Mercy Clinic East Communities | Clinic/Center | 301 Theresa St, Cuba, MO 65453-1636 | 2012-06-29 |
| 1467716928 | Mercy Clinic East Communities | Clinic/Center | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2012-06-29 |
| 1619231164 | Mercy Clinic East Communities | Clinic/Center | 520 Pine St, Steelville, MO 65565-6041 | 2012-06-29 |
| 1043574940 | Mercy Clinic East Communities | Allergy & Immunology | 615 S New Ballas Rd, Administration Building, 5th Floor, Saint Louis, MO 63141-8221 | 2012-06-26 |
| 1073739041 | Mercy Clinic East Communities | Family Medicine | 615 S New Ballas Rd, Administrative Building, 5th Floor, Saint Louis, MO 63141-8221 | 2007-04-18 |
| 1851335228 | Mercy Clinic East Communities | Family Medicine | 615 S New Ballas Rd, Administration Building, 5th Floor, Saint Louis, MO 63141-8221 | 2006-06-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY CLINIC EAST COMMUNITIES | 645 Maryville Centre Dr, Saint Louis, MO 63141-5855 |
| Street Address |
15945 CLAYTON RD STE 310 |
| City | BALLWIN |
| State | MO |
| Zip Code | 63011-2493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962791368 | Caroline C. Rowe | Registered Nurse | 15945 Clayton Rd Ste 310, Ballwin, MO 63011-2493 | 2011-04-06 |
| 1912507047 | Gabrielle Marie Feltner | Health Educator | 15945 Clayton Rd Ste 310, Ballwin, MO 63011-2493 | 2020-10-28 |
| 1588150205 | Page K Williams | Registered Nurse | 15945 Clayton Rd Ste 310, Ballwin, MO 63011-2493 | 2018-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1811467053 | Missouri Obesity Center,llc | Internal Medicine | 1601 E Broadway Ste 160, Columbia, MO 65201-5821 | 2018-11-30 |
| 1427468164 | Naser Eddin Munir Naser Gharaibeh | Internal Medicine | 100 Mercy Way Ste 580, Joplin, MO 64804-4524 | 2014-05-03 |
| 1306144506 | James Neal Greene | Internal Medicine | 1259 Pine Dr, Mount Vernon, MO 65712-0145 | 2011-03-11 |
| 1285944850 | Richardson Endocrine Care LLC | Internal Medicine | 2865 Netherton Drive, St Louis, MO 63136-4674 | 2010-10-18 |
| 1992019921 | Jonathan David Bortz | Internal Medicine | 8117 Stanford Ave, Saint Louis, MO 63130-3617 | 2010-08-02 |
| 1750543518 | Gurkiran Dhindsa | Internal Medicine | 1023 Executive Parkway Dr Ste 2, Creve Coeur, MO 63141-6323 | 2008-07-01 |
| 1538289343 | Rojanasathit,m.d.p.c. | Internal Medicine | 11155 Dunn Rd Ste 201e, Saint Louis, MO 63136-6149 | 2007-03-29 |
| 1245372226 | Robert Charles Packman | Internal Medicine | 34 Oak Park Dr, Creve Coeur, MO 63141-8428 | 2007-02-13 |
| 1528131711 | Zdzislaus Joseph Wanski | Internal Medicine | 1150 State Hwy 248 Suite 102, Branson, MO 65616 | 2006-11-16 |
| 1396840583 | Lavonne A Berg | Internal Medicine | 1551 N. Oakland, Bolivar, MO 65613 | 2006-09-13 |
| Find all providers with the same taxonomy | ||||
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| 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.