Mercy Clinic Children's Critical Care, LLC

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

Legal business name

MERCY CLINIC CHILDREN'S CRITICAL CARE, LLC

Practice address

621 S New Ballas Rd
Suite 6009-B
Saint Louis, MO 63141-8232

Phone

(314) 251-6598

Fax

(314) 251-7990

NPI assigned

Nov 6, 2006

Last updated

May 8, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

MERCY HOSPITALS EAST COMMUNITIESAs reported in NPPES

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

Authorized official

Name

Mr. Jeffrey A. Johnston

Title

President, Mercy Hospital St. Louis

Phone

(314) 251-1932

Specialties & licenses 1

Addresses

Other names 1

• St. John's Mercy Pediatric Critical Care Former legal business name

Part of

Mercy Hospitals East Communities Mercy Hospital St Louis

Practitioners 3

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.

• Hilel Frankenthal, M.D.

  • Pediatric Critical Care Medicine Physician
  • Saint Louis, MO
  • NPI 1669649042
  NPD (past)
• Theodore G. Sample Jr., M.D.

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1922191584
  NPD (past)
• Alison Deremigis Thomasson, M.D.

  • Pediatric Critical Care Medicine Physician
  • Saint Louis, MO
  • NPI 1245644822
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1376612572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 6009-B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6598",
            "fax_number": "314-251-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 6009-B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6598",
            "fax_number": "314-251-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CLINIC CHILDREN'S CRITICAL CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HOSPITALS EAST COMMUNITIES",
        "enumeration_date": "2006-11-06",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT, MERCY HOSPITAL ST. LOUIS",
        "authorized_official_telephone_number": "314-251-1932",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. John's Mercy Pediatric Critical Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Pediatric Critical Care Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pediatric Critical Care Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.