St. Anthony's Medical Center

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

ST. ANTHONY'S MEDICAL CENTER

Doing business as

St. Anthony's Senior Services

Practice address

12700 Southfork Rd
Saint Louis, MO 63128-3209

Phone

(314) 525-4745

Fax

(314) 525-1868

NPI assigned

Sep 19, 2005

Last updated

Sep 11, 2025By 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

Mrs. Eleonora Sicola, RN,BSN

Title

Manager, Senior Services

Phone

(314) 525-4745

Specialties & licenses 3

Addresses

Other names 1

• St. Anthony's Senior Services Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mercy Hospital South

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1568481984

  O20031113000592

  Same enrollment

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.

• Iqbal Amin, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Saint Louis, MO
  • NPI 1184619835
  NPD
• Babu R Dandamudi, MD

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1386645430
  NPD
• Riffat Y. Imdad, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Saint Louis, MO
  • NPI 1760477426
  NPD
• Mohammed Mojid, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Saint Louis, MO
  • NPI 1548255201
  NPD
• Candice Griewing, APN

  • Adult Health Nurse Practitioner
  • Saint Peters, MO
  • NPI 1790972255
  NPD (past)
• Brij Raj Vaid, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1477583797
  NPD (past)

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1760477434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283201",
            "telephone_number": "314-525-4745",
            "fax_number": "314-525-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283209",
            "telephone_number": "314-525-4745",
            "fax_number": "314-525-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANTHONY'S MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SICOLA",
        "authorized_official_first_name": "ELEONORA",
        "authorized_official_title_or_position": "MANAGER, SENIOR SERVICES",
        "authorized_official_telephone_number": "314-525-4745",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Anthony's Senior Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marissa St Peters
• St. Alexius Hospital Corporation 1
• St. Andrew's at Home Services, LLC (St. Andrew's Senior Solutions)
• St. Andrew's at Home Services, LLC (St. Andrew's Senior Solutions)
• St. Andrews & Bethesda LLC (St. Andrews & Bethesda Home Care)
• St. Anthony's Medical Center
• St. Anthony's Physician Organization (Mercy Clinic South Physicians)
• St. Anthony's Physician Organization (Mercy Clinic South Physicians)
• St. Anthony's Physician Organization (Mercy Clinic South Physicians)
• St. Anthony's Physician Organization (Mercy Clinic South Physicians)

• Nursing Facility/Intermediate Care Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Nursing Facility/Intermediate Care Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.