NPIMap

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
1508366949
Registry record updated Feb 12, 2018
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) 966-9100
NPI assigned
Feb 12, 2018
Last updated
Feb 12, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
ST LUKES EPISCOPAL PRESBYTERIAN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313

Mailing address

2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313

Other identifiers 1

IdentifierTypeStateIssuer
010491207MedicaidMO

Other names 1

  • St. Luke's Des Peres Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Lukes Hospital11 organizations share this tax ID, including this one
Part of
St Lukes Hospital

Other organizations with this tax ID 10

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1508366949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 DOUGHERTY FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223313"
        },
        {
            "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": "314-966-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S DES PERES EPISCOPAL-PRESBYTERIAN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKES EPISCOPAL PRESBYTERIAN HOSPITAL",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "H.",
        "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": "NU",
            "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 Feb 12, 2018; 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.