NPIMap

Organization Active NPI

Metro Heart Group of St. Louis, Inc.

Doing business as Metro Heart Group

  • Specialist
  • Festus, MO
National Provider Identifier
1487650545
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
METRO HEART GROUP OF ST. LOUIS, INC.
Doing business as
Metro Heart Group
Practice address
1390 Highway 61
Suite 3300
Festus, MO 63028-4137
Phone
(636) 931-6302
Fax
(636) 933-3609
NPI assigned
Jun 23, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Rock Erekson
Title
Executive Director
Phone
(314) 880-6107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MO Primary

Addresses

Primary practice location

1390 Highway 61
Suite 3300
Festus, MO 63028-4137

Mailing address

PO Box 66754
Saint Louis, MO 63166-6754
Phone (314) 880-6100

Other identifiers 1

IdentifierTypeStateIssuer
1487650545MedicaidMO

Other names 1

  • Metro Heart Group Doing business as

National Provider Directory

National Provider Directory

Locations

100 Medical Plz
Ste 200
Lake Saint Louis, MO 63367
Phone (636) 939-4820

300 Medical Plz
Ste 180
Lake Saint Louis, MO 63367
Phone (636) 939-4820

1001 S Kirkwood Rd
Ste 100
Saint Louis, MO 63122
Phone (314) 543-5970

10018 Kennerly Rd
Fl 3
Saint Louis, MO 63128
Phone (314) 361-8100

10123 Corporate Square Dr
Saint Louis, MO 63132
Phone (314) 692-2807

605 Old Ballas Rd
Ste 250
Saint Louis, MO 63141
Phone (314) 997-3228

625 S New Ballas Rd
Ste 2030
Saint Louis, MO 63141
Phone (314) 251-5800

Practitioners & affiliated clinicians

Practitioners 68

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.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487650545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66754",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631666754",
            "telephone_number": "314-880-6100",
            "fax_number": "314-997-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 HIGHWAY 61",
            "address_2": "SUITE 3300",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284137",
            "telephone_number": "636-931-6302",
            "fax_number": "636-933-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO HEART GROUP OF ST. LOUIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EREKSON",
        "authorized_official_first_name": "ROCK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-880-6107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487650545",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Heart Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.