Organization Active NPI

Mercy East Community

  • Primary Care Clinic/Center
  • Des Peres, MO
National Provider Identifier
1588939797
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2012006258 Issued in MO
Legal business name
MERCY EAST COMMUNITY
Practice address
12360 Manchester Road
Suite 100
Des Peres, MO 63131-4312
Phone
(314) 966-8500
NPI assigned
Mar 21, 2012
Last updated
Mar 21, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Dr. Gregory Finn, MEDICAL DOCTORNPI 1447223136
Title
Pediatrician
Phone
(314) 966-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 2012006258 MO Primary

Addresses

Primary practice location

12360 Manchester Road
Suite 100
Des Peres, MO 63131-4312

Mailing address

12360 Manchester Rd Ste 100
Des Peres, MO 63131-4312
Phone (314) 966-8500

Other names 1

  • Mercy Medical Group Former legal business name

National Provider Directory

National Provider Directory
Part of
Mercy Clinic Communities

Locations

12360 Manchester Rd
Ste 100
Saint Louis, MO 63131
Phone (314) 966-8500

Practitioners & affiliated clinicians

Practitioners 1

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": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1588939797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 MANCHESTER RD STE 100",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631314312",
            "telephone_number": "314-966-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 MANCHESTER ROAD",
            "address_2": "SUITE 100",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631314312",
            "telephone_number": "314-966-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY EAST COMMUNITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "FINN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "314-966-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "2012006258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Medical Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Des Peres, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.