The Heart Specialty Associates, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

THE HEART SPECIALTY ASSOCIATES, LLC

Doing business as

Mercy Clinic South Heart and Vascular Physicians

Practice address

10012 Kennerly Rd Ste 403
Saint Louis, MO 63128-2197

Phone

(314) 880-6676

Fax

(314) 842-4372

NPI assigned

Dec 22, 2010

Last updated

Jun 12, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

THE HEART SPECIALTY ASSOCIATES, LLCAs reported in NPPES

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

Authorized official

Name

Robert William Hoefer

Title

Coo

Phone

(314) 525-1766

Specialties & licenses 4

Addresses

Other names 1

• Mercy Clinic South Heart and Vascular Physicians Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

The Heart Specialty Associates LLC

Member of 1

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

• Mercy Hospital South

  dba Mercy Home Health

  • Home Health Agency
  • Saint Louis, MO
  • NPI 1053314179

  Member Of

  NPD member

Locations

Practitioners 4

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.

• Amy Lee Swoboda, FNP-BC

  • Family Nurse Practitioner
  • Washington, MO
  • NPI 1023379856
  NPD
• Nicole Renee Guerrero, ANP-BC

  • Adult Health Nurse Practitioner
  • Festus, MO
  • NPI 1558490383
  NPD (past)
• Jeffrey T Reese, M.D.

  • Interventional Cardiology Physician
  • Festus, MO
  • NPI 1598764623

  Cardiovascular Disease

  NPD (past)
• Bassam A. Roukoz, M.D.

  • Interventional Cardiology Physician
  • Festus, MO
  • NPI 1396744439

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1164726758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "314-364-4200",
            "fax_number": "314-997-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 KENNERLY RD STE 403",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282197",
            "telephone_number": "314-880-6676",
            "fax_number": "314-842-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEART SPECIALTY ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HEART SPECIALTY ASSOCIATES, LLC",
        "enumeration_date": "2010-12-22",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "HOEFER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "314-525-1766"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Clinic South Heart and Vascular Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Saint Louis, MO by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.