NPIMap

Organization Active NPI

St. Anthony's Physician Organization

Doing business as Mercy Clinic South Physicians

  • Orthopaedic Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1356708713
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ST. ANTHONY'S PHYSICIAN ORGANIZATION
Doing business as
Mercy Clinic South Physicians
Practice address
12152 Tesson Ferry Rd
Saint Louis, MO 63128-1726
Phone
(314) 849-5414
Fax
(314) 849-2042
NPI assigned
Jan 15, 2016
Last updated
Jan 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Cheryl Matejka
Title
Cfo East Communities & Sfo
Phone
(314) 251-1958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MO Primary

Addresses

Primary practice location

12152 Tesson Ferry Rd
Saint Louis, MO 63128-1726

Mailing address

9735 Landmark Parkway Dr
Ste 200
Saint Louis, MO 63127-1646
Phone (314) 543-6985

Other identifiers 1

IdentifierTypeStateIssuer
000015644OtherMOMEDICARE PTAN

Other names 1

  • Mercy Clinic South Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Anthony's Physician Organization4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

9735 Landmark Parkway Dr
Ste 200
Saint Louis, MO 63127
Phone (314) 525-1887

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1356708713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 LANDMARK PARKWAY DR",
            "address_2": "STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271646",
            "telephone_number": "314-543-6985",
            "fax_number": "314-543-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12152 TESSON FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281726",
            "telephone_number": "314-849-5414",
            "fax_number": "314-849-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANTHONY'S PHYSICIAN ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "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"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000015644",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Clinic South Physicians",
            "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 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.

Verify at the official NPI Registry.