MERCY CLINIC EAST COMMUNITIES


Address: 10004 Kennerly Rd Ste 395b, Saint Louis, MO 63128-2190
Phone: 3148493500

MERCY CLINIC EAST COMMUNITIES (NPI# 1720635329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720635329
Entity Type Organization
Organization Name MERCY CLINIC EAST COMMUNITIES
Practice Address 10004 Kennerly Rd Ste 395b
Saint Louis
MO 63128-2190
Mailing Address Po Box 776084
Chicago
IL 60677-6084
Practice Telephone 3148493500
Practice Fax Number 3145435951
Mailing Telephone 3143644347
Enumeration Date 2019-08-20
Last Update Date 2019-08-20
Authorized Official Name CHERYL MATEJKA (CFO)
Authorized Official Telephone 3142511958
Is Organization Subpart Y
Parent Organization Name MERCY CLINIC EAST COMMUNITIES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1700370061 Mercy Clinic East Communities Internal Medicine 15945 Clayton Rd Ste 310, Ballwin, MO 63011-2493 2018-06-20
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

Other Data Sources

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

Office Location

Street Address 10004 KENNERLY RD STE 395B
City SAINT LOUIS
State MO
Zip Code 63128-2190

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356986541 Pain Relief Center of St Louis LLC Family Medicine 1115 Olivette Executive Pkwy, Saint Louis, MO 63132-3259 2019-11-12
1063066777 Isabella Citizens for Health, Inc. Family Medicine 312 Union St, Saint Louis, MI 48880-1830 2019-07-31
1043864010 Isabella Citizens for Health, Inc. Family Medicine 113 E Saginaw St, Saint Louis, MI 48880-1755 2019-07-29
1558896969 Shivani Sockanathan Family Medicine 969 N Mason Rd Ste 145a, Saint Louis, MO 63141-6282 2017-04-23
1598299646 Kharole Compere Family Medicine 175 N Oaks Plz, Saint Louis, MO 63121-2925 2017-04-16
1396109880 Ritesh Gandhi Family Medicine 7345 Watson Rd Ste 203, Saint Louis, MO 63119 2016-04-11
1144608035 Daniel Urcuyo Family Medicine 4625 Lindell Blvd Ste 338, Saint Louis, MO 63108 2015-05-11
1376958728 Jamil Neme Family Medicine 3660 Vista Ave Ste 103, Saint Louis, MO 63110-2540 2014-06-24
1144633819 Perini Shah Family Medicine 12700 Southfork Rd Ste 215, Saint Louis, MO 63128-3276 2014-06-10
1982017786 Alexander John Mazzaferro Family Medicine 4280 Mid America Ln Ste 30, Saint Louis, MO 63129-1202 2014-06-09
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63128

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Dataset Information

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.

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