Organization Active NPI

St. Luke's Des Peres Episcopal-Presbyterian Hospital

Doing business as St. Luke's Des Peres Hospital

  • General Acute Care Hospital
  • Saint Louis, MO
National Provider Identifier
1427893486
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL
Doing business as
St. Luke's Des Peres Hospital
Practice address
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Phone
(314) 966-9000
NPI assigned
Jul 1, 2024
Organization subpart
Yes
Parent organization
ST. LUKE'S DES PERES HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Scott Johnson
Title
Sr. VP & Cfo
Phone
(314) 434-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313

Mailing address

106 Gregs Way
Old Monroe, MO 63369-2346
Phone (636) 544-6396

Other identifiers 1

IdentifierTypeStateIssuer
010491207MedicaidMO

Other names 1

  • ST. LUKE'S DES PERES HOSPITAL Doing business as

National Provider Directory

National Provider Directory
Part of
St Luke's Des Peres Episcopal-Presbyterian Hospital

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1427893486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 GREGS WAY",
            "city": "OLD MONROE",
            "state": "MO",
            "postal_code": "633692346",
            "telephone_number": "636-544-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 DOUGHERTY FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223313",
            "telephone_number": "314-966-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE'S DES PERES HOSPITAL",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "SR. VP & CFO",
        "authorized_official_telephone_number": "314-434-1500"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010491207",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. LUKE'S DES PERES HOSPITAL",
            "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 Jul 1, 2024; 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.