Mercy Clinic East Communities
Organization Active NPI Family Medicine Physician · Saint Louis, MO
NPI 1043574940 · NPPES record last updated Apr 25, 2025
Key facts
- NPI
- 1043574940
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MERCY CLINIC EAST COMMUNITIES
- Practice address
- 615 S New Ballas Rd
Administration Building, 5TH Floor
Saint Louis, MO 63141-8221 - Phone
- (314) 251-6000
- NPI assigned
- Jun 26, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- MERCY HEALTH EAST COMMUNITIES
Authorized official
- Name
- Kerry Dunger
- Title
- Executive Director - Finance
- Phone
- (314) 364-3707
Other NPIs on the same Medicare enrollment 8
Other NPIs with the same Medicare PAC ID 5
Practitioners 642
-
Monakka Afroz, MD
-
Krista Danielle Allen, AANP-FNP
-
Melissa L. Amann, FNP
-
Bryce A Ayers, M.D.
-
Tamara Bailey, FNP-C
-
Terri Bauer, RN, MSN, WHNP-BC
-
Jessica L Bell, NP
-
Megan Kathren Bell, WHNP-BC
-
Danielle Besand, FNP-BC
-
Charles Dean Blackburn, FNP-BC
-
Denise P Blackburn, APRN, FNP-BC
-
Barbara L Blaue, WHNP
-
Christy R Bleckman, M.D.
-
Craig W Boyd, MD
-
Kaila Marie Bridges, FNP
-
Casey Lynn Buncher, FNP-C
-
Christina Lee Byron, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070521000006 | MO | Part B Supplier - Clinic/Group Practice | 7214827922 |
Receives reassigned benefits from 780 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20070521000058 | MO | Part B Supplier - Clinic/Group Practice | 7214827922 |
Receives reassigned benefits from 211 practitioners 7 other NPIs on this enrollment Practice locations: Washington, MO; Warrenton, MO; Union, MO; Troy, MO; Sullivan, MO; Saint Clair, MO; Pacific, MO; New Haven, MO… |
National Provider Directory
Locations
15945 Clayton Rd
Ste 305
Ballwin, MO 63011
Phone (314) 251-5570
1717 Catlin Dr
Barnhart, MO 63012
Phone (636) 741-3233
755 Dunn Rd
Ste 110
Hazelwood, MO 63042
Phone (314) 731-1113
307 Noonan Dr
Pacific, MO 63069
Phone (636) 271-9100
10700 Manchester Rd
Ste D
Saint Louis, MO 63122
Phone (314) 822-6830
621 S New Ballas Rd
Ste 1015B
Saint Louis, MO 63141
Phone (314) 251-4652
1326 S Service Rd W
#10
Sullivan, MO 63080
Phone (573) 468-4455
97 Saint Andrews Dr
Union, MO 63084
Phone (636) 583-2946
851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | |||
| Emergency Medicine Physician |
207P00000X | |||
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Pediatrics Physician |
208000000X | |||
| Nurse Practitioner |
363L00000X | |||
| Adult Health Nurse Practitioner |
363LA2200X | |||
| Family Nurse Practitioner |
363LF0000X | |||
| Women's Health Nurse Practitioner |
363LW0102X | |||
| Family Health Clinical Nurse Specialist |
364SF0001X |
Addresses
Primary practice location
615 S New Ballas Rd
Administration Building, 5TH Floor
Saint Louis, MO 63141-8221
Mailing address
615 S New Ballas Rd
Administration Building, 5TH Floor
Saint Louis, MO 63141-8221
Phone (314) 251-6000
Other providers in Saint Louis, MO
- Mercy Clinic Children'S Infectious Disease, LLC
- Mercy Clinic Children'S Palliative Care LLC
- Mercy Clinic Children'S Respiratory and Sleep Medicine, LLC
- Mercy Clinic Children'S Surgery, LLC
- Mercy Clinic Children'S Urology LLC
- Mercy Clinic East Communities
- Mercy Clinic East Communities
- Mercy Clinic East Communities
- Mercy Clinic East Community
- Mercy Clinic Endocrinology, LLC
All providers in Saint Louis, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.