NPIMap

Organization Active NPI

St. John's Mercy Support Services

  • Cardiovascular Disease Physician
  • Washington, MO
National Provider Identifier
1912020397
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ST. JOHN'S MERCY SUPPORT SERVICES
Practice address
901 E 5TH St
Washington, MO 63090-3127
Phone
(636) 239-8000
Fax
(636) 239-8890
NPI assigned
Apr 9, 2007
Last updated
May 8, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HOSPITALS EAST COMMUNITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Michael M. McCurry
Title
President
Phone
(314) 628-3423

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary
Neurology Physician 2084N0400X NU

Addresses

Primary practice location

901 E 5TH St
Washington, MO 63090-3127

Mailing address

901 E 5TH St
Washington, MO 63090-3127
Phone (636) 239-8000

Other identifiers 1

IdentifierTypeStateIssuer
507219806MedicaidMO

National Provider Directory

National Provider Directory
Part of
Mercy Hospitals East Communities Mercy Hospital St Louis

Member of 1

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

Locations

300 Winding Woods Dr
Ste 112
O Fallon, MO 63366
Phone (636) 379-6600

621 S New Ballas Rd
#C
Saint Louis, MO 63141
Phone (314) 251-4283

621 S New Ballas Rd
#D
Saint Louis, MO 63141
Phone (314) 251-4283

621 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-4283

621 S New Ballas Rd
#T
Saint Louis, MO 63141
Phone (314) 251-4283

621 S New Ballas Rd
Ste 4006B
Saint Louis, MO 63141
Phone (314) 251-6486

625 S New Ballas Rd
#A
Saint Louis, MO 63141
Phone (314) 251-4283

625 S New Ballas Rd
#P
Saint Louis, MO 63141
Phone (314) 251-4283

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

Practitioners & affiliated clinicians

Practitioners 107

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 107

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1912020397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 5TH ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903127",
            "telephone_number": "636-239-8000",
            "fax_number": "636-239-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 5TH ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903127",
            "telephone_number": "636-239-8000",
            "fax_number": "636-239-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S MERCY SUPPORT SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HOSPITALS EAST COMMUNITIES",
        "enumeration_date": "2007-04-09",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "MCCURRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-628-3423"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507219806",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.