Mercy South ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MERCY SOUTH ASC LLC

Doing business as

Mercy Outpatient Surgery Center - West Bend

Practice address

12345 W Bend Dr Ste 201
Saint Louis, MO 63128-2254

Phone

(314) 543-6946

NPI assigned

May 31, 2022

Last updated

Aug 25, 2022By 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

Mr. Daniel S Eckenfels

Title

Vice President - Finance

Phone

(314) 525-1483

Specialties & licenses 1

Addresses

Other names 1

• Mercy Outpatient Surgery Center - West Bend Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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

CLIA laboratory certificates

Member of 1

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

• MHM Support Services

  dba Mercy Specialty Pharmacy Oklahoma City

  • Specialty Pharmacy
  • Oklahoma City, OK
  • NPI 1861849804

  Member Of

  NPD member

Practitioners 1

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.

• John M Mohart, M.D.

  • Cardiovascular Disease Physician
  • Washington, MO
  • NPI 1922041987
  NPD (past)

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1255070116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 W BEND DR STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 W BEND DR STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282254",
            "telephone_number": "314-543-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY SOUTH ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "ECKENFELS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT - FINANCE",
        "authorized_official_telephone_number": "314-525-1483",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Outpatient Surgery Center - West Bend",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Pharmacy Services, LLC (Mercy Pharmacy St Louis Lobby)
• Mercy Pharmacy Services, LLC (Mercy Pharmacy Medical Tower A/B)
• Mercy Pharmacy Services, LLC (Mercy Pharmacy New Ballas)
• Mercy Professional Services, Inc.
• Mercy Rehabilitation Hospital South LLC
• Mercy Support Services (Mercy JFK Clinic)
• Mercy Support Services
• Mercy Womens Services LLC
• Tristan Merdian, OTR/L
• John Todd Meredith, M.D.

• Ambulatory Surgical Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Ambulatory Surgical Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.