St. Anthony'S Physician Organizaton

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

ST. ANTHONY'S PHYSICIAN ORGANIZATON

Practice address

11144 Tesson Ferry Rd
Ste 201
Saint Louis, MO 63123-6965

Phone

(314) 842-4181

Fax

(314) 842-4833

NPI assigned

Oct 8, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Cheryl Matejka

Title

Cfo East Communities & Sfo

Phone

(314) 251-1958

Specialties & licenses 1

Addresses

Other names 1

• Mercy Clinic South Physicians Doing business as

Locations

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1457722076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11144 TESSON FERRY RD STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236965",
            "telephone_number": "314-842-4181",
            "fax_number": "314-842-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11144 TESSON FERRY RD",
            "address_2": "STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236965",
            "telephone_number": "314-842-4181",
            "fax_number": "314-842-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANTHONY'S PHYSICIAN ORGANIZATON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Clinic South Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Anthony'S Physician Organization Private Practices LC
• St. Anthony'S Physician Organization Private Practices LC
• St. Anthony'S Physician Organization Private Practices LC
• St. Anthony'S Physician Organization Private Practices LC
• St. Anthony'S Physician Organization Private Practices, L.C.
• St. Elizabeth Adult Day Care Center, Inc.
• 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

• Gastroenterology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Gastroenterology Physician in Missouri

• 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.