Active NPI
Physicians of St Anthonys Medical Center LC
Doing business as Mercy Clinic South Support Service Physicians
- Pulmonary Disease Physician
- Saint Louis, MO
National Provider Identifier
1316370059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- PHYSICIANS OF ST ANTHONYS MEDICAL CENTER LC
- Doing business as
- Mercy Clinic South Support Service Physicians
- Practice address
- 4850 Lemay Ferry Rd
Suite 210
Saint Louis, MO 63129-1576 - Phone
- (314) 892-6565
- Fax
- (314) 892-4828
- NPI assigned
- Aug 16, 2013
- Last updated
- Jan 4, 2019
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
4850 Lemay Ferry Rd
Suite 210
Saint Louis, MO 63129-1576
Mailing address
4850 Lemay Ferry Rd
Suite 210
Saint Louis, MO 63129-1576
Phone (314) 892-6565
Other names 1
- Mercy Clinic South Support Service Physicians
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546560000000",
"number": "1316370059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 LEMAY FERRY RD",
"address_2": "SUITE 210",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631291576",
"telephone_number": "314-892-6565",
"fax_number": "314-892-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 LEMAY FERRY RD",
"address_2": "SUITE 210",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631291576",
"telephone_number": "314-892-6565",
"fax_number": "314-892-4828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS OF ST ANTHONYS MEDICAL CENTER LC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-16",
"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": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Clinic South Support Service Physicians",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
- Physician Groups LC (West County Bone And Joint)
- Physician Groups LC (University Medical Consultants)
- Physician Services and Consulting, LLC (Chesterfield Bariatric Surgery)
- Physician's Neurology Consultants, Inc
- Physicians of St Anthonys Medical Center LC (Mercy Clinic South Support Service Physicians)
- Cinthia Pi, MD
- Alberto G Piacentini, MD MBBS
- Eric Piatchek, PA-C
- Jonathan J Picarella, CRNA
- Mary Piccirilli
Sources for this page
- 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.