NPIMap

Organization Active NPI

Mercy Arch Hematology Oncology Group Inc.

  • Hematology & Oncology Physician
  • Saint Louis, MO
National Provider Identifier
1356316103
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MERCY ARCH HEMATOLOGY ONCOLOGY GROUP INC.
Doing business as
Mercy Cancer Care
Practice address
607 S New Ballas Rd
Suite 3300
Saint Louis, MO 63141-8219
Phone
(314) 251-4986
Fax
(314) 251-6375
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Burton M Needles, M.D.NPI 1114992955
Title
President
Phone
(314) 251-4986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X MO Primary

Addresses

Primary practice location

607 S New Ballas Rd
Suite 3300
Saint Louis, MO 63141-8219

Mailing address

607 S New Ballas Rd
Suite 3300
Saint Louis, MO 63141-8219
Phone (314) 251-4986

Other identifiers 2

IdentifierTypeStateIssuer
500583703MedicaidMO
500586706MedicaidMO

Other names 1

  • Mercy Cancer Care Doing business as

National Provider Directory

National Provider Directory

Locations

607 S New Ballas Rd
Ste 3300
Saint Louis, MO 63141
Phone (314) 251-4400

851 E 5th St
Ste 308
Washington, MO 63090
Phone (314) 251-4400

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1356316103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S NEW BALLAS RD",
            "address_2": "SUITE 3300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418219",
            "telephone_number": "314-251-4986",
            "fax_number": "314-251-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S NEW BALLAS RD",
            "address_2": "SUITE 3300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418219",
            "telephone_number": "314-251-4986",
            "fax_number": "314-251-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY ARCH HEMATOLOGY ONCOLOGY GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "NEEDLES",
        "authorized_official_first_name": "BURTON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-251-4986",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500583703",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500586706",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Cancer Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.