Mercy Clinic Children's Hospitalists - St. Louis, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MERCY CLINIC CHILDREN'S HOSPITALISTS - ST. LOUIS, LLC

Practice address

621 S New Ballas Rd
Suite 6006-B
Saint Louis, MO 63141-8232

Phone

(314) 251-6299

Fax

(314) 251-4450

NPI assigned

Oct 5, 2006

Last updated

May 6, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

MERCY HOSPITALS EAST COMMUNITIESAs reported in NPPES

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

Authorized official

Name

Mr. Jeffrey A. Johnston

Title

President, Mercy Hospital St. Louis

Phone

(314) 251-1932

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. John's Mercy Medical Center-St. John's Pediatric Services Former legal business name

Tax ID family

Mercy Clinic Children's Hospitalists - St Louis LLC2 organizations share this tax ID, including this one

Part of

St Johns Mercy Medical Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. John's Pediatric Services

  • Children's Hospital
  • Saint Louis, MO
  • NPI 1679876734
  NPD tax ID

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.

• Anna P Huger, MD

  • Pediatrics Physician
  • Chesterfield, MO
  • NPI 1104891274
  NPD (past)
• Thomas J Kasper, MD

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1366418238
  NPD (past)
• Leland M Laycob, MD

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1770559908
  NPD (past)
• Emily Marie Zielinski, PNP

  • Pediatric Nurse Practitioner
  • Saint Louis, MO
  • NPI 1013549203
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1235225475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 6006-B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6299",
            "fax_number": "314-251-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 6006-B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6299",
            "fax_number": "314-251-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CLINIC CHILDREN'S HOSPITALISTS - ST. LOUIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HOSPITALS EAST COMMUNITIES",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT, MERCY HOSPITAL ST. LOUIS",
        "authorized_official_telephone_number": "314-251-1932",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505981902",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. John's Mercy Medical Center-St. John's Pediatric Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Pediatrics Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.