Mercy Clinic Geriatrics, LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

MERCY CLINIC GERIATRICS, LLC

Practice address

621 S New Ballas Rd
Suite 6017-B
Saint Louis, MO 63141-8232

Phone

(314) 251-6285

Fax

(314) 251-4173

NPI assigned

Mar 6, 2007

Organization subpart

Yes

Parent organization

MERCY CLINIC EAST COMMUNITIESAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John W. Hubert, M.D.NPI 1902882202

Title

President

Phone

(314) 251-1700

Specialties & licenses 1

Addresses

Other names 1

• Mercy Geriatrics Former legal business name

Part of

Unity Medical GRP

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mercy Clinic East Communities

  • Rural Health Clinic/Center
  • Bourbon, MO
  • NPI 1235493776

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mercy Clinic East Communities

  • Endocrinology, Diabetes & Metabolism Physician
  • Ballwin, MO
  • NPI 1700370061
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John W Hubert, M.D.

  • Cardiovascular Disease Physician
  • Saint Louis, MO
  • NPI 1902882202
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1053441592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 6017-B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6285",
            "fax_number": "314-251-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 6017-B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6285",
            "fax_number": "314-251-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CLINIC GERIATRICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY CLINIC EAST COMMUNITIES",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "HUBERT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-251-1700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Geriatrics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mercy Clinic East Communities
• Mercy Clinic East Communities
• Mercy Clinic East Community
• Mercy Clinic Endocrinology, LLC
• Mercy Clinic Gastroenterology, LLC
• Mercy Clinic GYN Oncology, LLC
• Mercy Clinic Heart and Vascular, LLC
• Mercy Clinic Infectious Disease LLC
• Mercy Clinic Kids Gi, LLC
• Mercy Clinic Kids Plastic Surgery, LLC

• Geriatric Medicine (Internal Medicine) Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Geriatric Medicine (Internal Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.