ST. ANTHONY'S PHYSICIAN ORGANIZATION (NPI# 1992127492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992127492 |
| Entity Type | Organization |
| Organization Name | ST. ANTHONY'S PHYSICIAN ORGANIZATION |
| Other Organization Name | MERCY CLINIC SOUTH PHYSICIANS |
| Practice Address |
10020 Kennerly Rd Fl 2 Saint Louis MO 63128-2106 |
| Practice Telephone | 3145254429 |
| Practice Fax Number | 3145257260 |
| Mailing Telephone | 3145254429 |
| Mailing Fax Number | 3145257260 |
| Enumeration Date | 2014-01-17 |
| 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 | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE PTAN | 000015644 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Clinic South Physicians | Doing Business As Name - Organization |
| St Anthony's Behavioral Health 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 |
| 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 |
| 1801253612 | St. Anthony's Physician Organization | Family Medicine | 1216 W Main St, Festus, MO 63028-1654 | 2016-01-25 |
| Street Address |
10020 KENNERLY RD FL 2 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2106 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275193906 | New Day Psychiatric Services | Psychiatry & Neurology | 9904 Clayton Rd Ste 135, Saint Louis, MO 63124-1149 | 2019-06-14 |
| 1336607282 | Qsr Psychiatric Solutions LLC | Psychiatry & Neurology | 12855 N 40 Dr Ste 350, Saint Louis, MO 63141-8669 | 2019-03-11 |
| 1942644349 | Tianyuan Yin Cornell | Psychiatry & Neurology | 10020 Kennerly Rd, Saint Louis, MO 63128-2106 | 2013-04-29 |
| 1881943223 | Jessica Christine Oetting Rosenkvist | Psychiatry & Neurology | Washington University Department of Psychiatry, Campus Box 8134, Saint Louis, MO 63110-1010 | 2012-08-30 |
| 1902111388 | Daniel Murray | Psychiatry & Neurology | 4907 W Pine Blvd, Apt 318, Saint Louis, MO 63108 | 2010-08-10 |
| 1467767913 | Marie Walker | Psychiatry & Neurology | Wash U School of Medicine, 660 S Euclid Ave, Department of Psychiatry, Saint Louis, MO 63110 | 2010-08-09 |
| 1871804914 | Alexander E Graypel | Psychiatry & Neurology | 10004 Kennerly Rd Ste 362b, Saint Louis, MO 63128-2178 | 2010-06-23 |
| 1295051548 | Enquan Gao | Psychiatry & Neurology | 815 Renee Ln, Saint Louis, MO 63141-7642 | 2010-04-12 |
| 1124342894 | John Henry Sweet | Psychiatry & Neurology | 4930 Pershing Pl, Saint Louis, MO 63108-1202 | 2010-03-24 |
| 1942539085 | Mehrzad Seraji | Psychiatry & Neurology | 1040 N Mason Rd Ste 201, Saint Louis, MO 63141-6366 | 2009-12-21 |
| 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.