St. Anthony's Physician Organization

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST. ANTHONY'S PHYSICIAN ORGANIZATION

Doing business as

Mercy Clinic South Physicians
St Anthony's at Festus Family Medicine

Practice address

1216 W Main St
Festus, MO 63028-1654

Phone

(636) 937-3611

Fax

(636) 931-3612

NPI assigned

Jan 25, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Cheryl Matejka

Title

Cfo East Communities & Sfo

Phone

(314) 251-1958

Specialties & licenses 1

Addresses

Other names 2

• Mercy Clinic South Physicians Doing business as
• St Anthony's at Festus Family Medicine Doing business as

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1801253612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 W MAIN ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281654",
            "telephone_number": "314-525-4611",
            "fax_number": "314-525-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 W MAIN ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281654",
            "telephone_number": "636-937-3611",
            "fax_number": "636-931-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANTHONY'S PHYSICIAN ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "MATEJKA",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CFO EAST COMMUNITIES & SFO",
        "authorized_official_telephone_number": "314-251-1958",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Clinic South Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Anthony's at Festus Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Anthony's at Festus Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Speck, MA
• Meredith Leigh Spezia
• Amanda Nicole Sprinkles
• Mark H. Spurrier, M.D.
• Casey St Louis Mills
• Ana Isabel Stark, MD
• Ste Genevieve County Memorial Hospital (Me'Tis Breast Care)
• Terry S Stealey
• Erick Richard Stephenson
• Steven J. Hribernik, D.M.D., P.C. (St. Louis South Oral & Maxillofacial Surgery, Inc.)

• Family Medicine Physician in Festus, MO
• Providers in Festus, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.