St. John's Mercy Pulmonary Specialists

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

ST. JOHN'S MERCY PULMONARY SPECIALISTS

Practice address

621 S New Ballas Rd
Suite 460-a
Saint Louis, MO 63141-8232

Phone

(314) 251-6590

Fax

(314) 251-5809

NPI assigned

Mar 20, 2009

Last updated

Mar 20, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

ST. JOHN'S MERCY HEALTH SYSTEMAs reported in NPPES

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

Authorized official

Name

John G. Hermann

Title

President

Phone

(314) 364-3380

Specialties & licenses 1

Addresses

Tax ID family

Mercy Clinic Pulmonology - St Louis LLC2 organizations share this tax ID, including this one

Part of

Mercy Hospitals East Communities Mercy Hospital St Louis

Other organizations with this tax ID 1

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

• Mercy Clinic Pulmonology - St. Louis, LLC

  • Pulmonary Disease Physician
  • Saint Louis, MO
  • NPI 1821137886
  NPD tax ID

Locations

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1336380336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 460-A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6590",
            "fax_number": "314-251-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 460-A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6590",
            "fax_number": "314-251-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S MERCY PULMONARY SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. JOHN'S MERCY HEALTH SYSTEM",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "HERMANN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-364-3380"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Elizabeth Adult Day Care Center, Inc.
• St. Gerard Obstetrics and Gynecology, LLC
• St. John's Mercy Child Development Center
• St. John's Mercy Health Services, LLC (St. John's Mercy Managed Behavioral Health)
• St. John's Mercy Medical Center
• St. John's Mercy Therapy Services LLC
• St. John's Mercy Therapy Services LLC
• St. John's Pediatric Services
• St. Johns Dental Associates
• St. Johns Place, Inc.

• Pulmonary Disease Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pulmonary Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.