Active NPI
Mercy Aco Provider Services LLC
- General Acute Care Hospital
- Saint Louis, MO
National Provider Identifier
1053759704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- MERCY ACO PROVIDER SERVICES LLC
- Practice address
- 615 S New Ballas Rd
Saint Louis, MO 63141-8221 - Phone
- (314) 251-1376
- NPI assigned
- Jun 4, 2013
- Organization subpart
- Yes
- Parent organization
- MERCY HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Shannon Sock
- Title
- President Mercy Aco
- Phone
- (314) 251-6000
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | |||
| Infectious Disease Physician | 207RI0200X | |||
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Mailing address
625 S New Ballas Rd
Suite 7020
Saint Louis, MO 63141-8253
Phone (314) 251-1376
National Provider Directory
National Provider DirectoryLocations
625 S New Ballas Rd
Ste 7020
Saint Louis, MO 63141
Phone (314) 251-6486
Interoperability endpoints
- https://carepath.health-partners.org/Proxy-FHIR/MYCHART/api/FHIR/R4
- https://epic-fhir.mercy.net/prdfhirstl/api/FHIR/R4/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389139200000",
"number": "1053759704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 S NEW BALLAS RD",
"address_2": "SUITE 7020",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418253",
"telephone_number": "314-251-1376",
"fax_number": "314-251-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-251-1376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY ACO PROVIDER SERVICES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MERCY HEALTH",
"enumeration_date": "2013-06-04",
"last_updated": "2014-01-08",
"status": "A",
"authorized_official_last_name": "SOCK",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "PRESIDENT MERCY ACO",
"authorized_official_telephone_number": "314-251-6000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Rebekah Mercer, MA, LPC
- Assaad Merchak, M.D.
- Arjun Gaurang Merchant, MD
- Maureen M Mercier, ACNP
- Philippe Joseph Arthur Mercier, M.D., PH.D.
- Mercy Arch Hematology Oncology Group Inc.
- Mercy Behavioral Health, LLC
- Mercy Cardiology LLC
- Mercy Childrens Therapy and Development LLC
- Mercy Clinic Adult Critical Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.