Mercy Hospital St. Louis Professional Surgical Services LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

MERCY HOSPITAL ST. LOUIS PROFESSIONAL SURGICAL SERVICES LLC

Practice address

625 S New Ballas Rd
Saint Louis, MO 63141-8253

Phone

(314) 364-4347

NPI assigned

Mar 15, 2016

Last updated

Apr 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kerry Dunger

Title

Executive Director - Finance

Phone

(314) 364-3707

Specialties & licenses 2

Addresses

Member of 1

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

• Mercy Hospitals East Communities

  dba Mercy Hospital St Louis

  • Psychiatric Hospital Unit
  • Saint Louis, MO
  • NPI 1881792547

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1154782340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418253",
            "telephone_number": "314-364-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL ST. LOUIS PROFESSIONAL SURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "DUNGER",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR - FINANCE",
        "authorized_official_telephone_number": "314-364-3707"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Hospital South
• Mercy Hospital South (Mercy Hospice South - De Greef Hospice House)
• Mercy Hospital South (St. Anthony's Medical Center)
• Mercy Hospital South
• Mercy Hospital South
• Mercy Hospitals East Communities (Mercy Hospital St Louis)
• Mercy Hospitals East Communities (Mercy Hospital St Louis)
• Mercy Hospitals East Communities (Mercy Hospital St Louis)
• Mercy Hospitals East Communities (Mercy Hospital St. Louis)
• Mercy Hospitals East Communities (Mercy Hospital St Louis)

• Surgical Physician Assistant in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Surgical Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.