St. John's Pediatric Services

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

2010034857 Issued in MO

Legal business name

ST. JOHN'S PEDIATRIC SERVICES

Practice address

621 S New Ballas Rd
# 2003B
Saint Louis, MO 63141-8232

Phone

(314) 251-6299

NPI assigned

Dec 13, 2010

Last updated

Dec 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joesph Kahn, MD

Title

Department Chairman/Supervisor

Phone

(314) 251-6299

Specialties & licenses 1

Addresses

Tax ID family

Mercy Clinic Children's Hospitalists - St Louis LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mercy Clinic Children's Hospitalists - St. Louis, LLC

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1235225475
  NPD tax ID

Locations

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.

• Lauren Kathleen Tierney, CPNP

  • Pediatric Nurse Practitioner
  • Saint Louis, MO
  • NPI 1760783252
  NPD (past)

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1679876734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "# 2003B,",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "# 2003B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S PEDIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "JOESPH",
        "authorized_official_title_or_position": "DEPARTMENT CHAIRMAN/SUPERVISOR",
        "authorized_official_telephone_number": "314-251-6299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "MO",
            "license": "2010034857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. John's Mercy Health Services, LLC (St. John's Mercy Managed Behavioral Health)
• St. John's Mercy Medical Center
• St. John's Mercy Pulmonary Specialists
• St. John's Mercy Therapy Services LLC
• St. John's Mercy Therapy Services LLC
• St. Johns Dental Associates
• St. Johns Place, Inc.
• Kathryn St. Julian, CRNA
• St. Louis Academy
• St. Louis Addiction Counseling LLC

• Children's Hospital in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Children's Hospital in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.