Organization Active NPI

Mercy Clinic Gastroenterology, LLC

  • Gastroenterology Physician
  • Saint Louis, MO
National Provider Identifier
1528295334
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
MERCY CLINIC GASTROENTEROLOGY, LLC
Practice address
621 S New Ballas Rd
Suite 437-a
Saint Louis, MO 63141-8232
Phone
(314) 251-3880
Fax
(314) 251-3885
NPI assigned
Jun 18, 2009
Last updated
Feb 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY CLINIC EAST COMMUNITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Jonathan Tyler Sturgeon
Title
Cfo
Phone
(314) 251-1917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

621 S New Ballas Rd
Suite 437-a
Saint Louis, MO 63141-8232

Mailing address

621 S New Ballas Rd Ste 437a
Saint Louis, MO 63141-8259
Phone (314) 251-3880

Other names 1

  • St Johns Mercy Gastroenterology Specialists Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090806000762 MO Part B Supplier - Clinic/Group Practice 8628121795 Receives reassigned benefits from 81 practitioners
Practice locations: Saint Louis, MO; Washington, MO; Warrenton, MO; Troy, MO; Sullivan, MO; Lake St Louis, MO; Hazelwood, MO; Festus, MO…

National Provider Directory

National Provider Directory
Part of
Mercy Clinic Communities

Member of 1

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

Locations

226 S Woods Mill Rd
Ste 52WEST
Chesterfield, MO 63017
Phone (314) 434-2399

1820 Zumbehl Rd
#220
Saint Charles, MO 63303
Phone (636) 561-9020

1001 S Kirkwood Rd
Ste 180
Saint Louis, MO 63122
Phone (314) 543-5980

11144 Tesson Ferry Rd
Ste 201
Saint Louis, MO 63123
Phone (314) 842-4181

3023 N Ballas Rd
Ste 520D
Saint Louis, MO 63131
Phone (314) 569-2620

3844 S Lindbergh Blvd
Ste 160
Saint Louis, MO 63127
Phone (314) 698-2400

615 S New Ballas Rd
Ste 1200
Saint Louis, MO 63141
Phone (314) 251-2880

621 S New Ballas Rd
Ste 1200
Saint Louis, MO 63141

621 S New Ballas Rd
Ste 584A
Saint Louis, MO 63141
Phone (314) 251-3380

621 S New Ballas Rd
Ste 598A
Saint Louis, MO 63141
Phone (314) 251-3380

621 S New Ballas Rd
Ste 6011B
Saint Louis, MO 63141
Phone (314) 251-7400

1326 S Service Rd W
Ste 300
Sullivan, MO 63080
Phone (636) 239-7344

901 Patients First Dr
#2000
Washington, MO 63090
Phone (636) 239-7344

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 85

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 85

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1528295334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 437A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418259",
            "telephone_number": "314-251-3880",
            "fax_number": "314-251-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 437-A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-3880",
            "fax_number": "314-251-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CLINIC GASTROENTEROLOGY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY CLINIC EAST COMMUNITIES",
        "enumeration_date": "2009-06-18",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "STURGEON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "314-251-1917"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Johns Mercy Gastroenterology Specialists",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.