St. Anthony'S Physician Organization

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST. ANTHONY'S PHYSICIAN ORGANIZATION

Doing business as

Mercy Clinic South Physicians

Practice address

12503 Village Circle Dr
Saint Louis, MO 63127-1701

Phone

(314) 525-1887

Fax

(314) 525-1868

NPI assigned

Jan 6, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Cheryl Matejka

Title

Cfo East Communities & Sfo

Phone

(314) 251-1958

Specialties & licenses 1

Addresses

Other names 1

• Mercy Clinic South Physicians Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John W Hubert, M.D.

  • Cardiovascular Disease Physician
  • Saint Louis, MO
  • NPI 1902882202
  NPD (past)
• Joseph Paul Wood, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1063442564
  NPD (past)

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1073979027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 LANDMARK PARKWAY DR",
            "address_2": "STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271646",
            "telephone_number": "314-525-1887",
            "fax_number": "314-525-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12503 VILLAGE CIRCLE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271701",
            "telephone_number": "314-525-1887",
            "fax_number": "314-525-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANTHONY'S PHYSICIAN ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "MATEJKA",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CFO EAST COMMUNITIES & SFO",
        "authorized_official_telephone_number": "314-251-1958",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Clinic South Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Anthony'S Medical Center
• St. Anthony'S Medical Center
• St. Anthony'S Physician Organization
• St. Anthony'S Physician Organization
• St. Anthony'S Physician Organization
• St. Anthony'S Physician Organization
• St. Anthony'S Physician Organization
• St. Anthony'S Physician Organization
• St. Anthony'S Physician Organization
• St. Anthony'S Physician Organization

• Family Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.