St Anthony's Physician Organization Specialty Services LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

ST ANTHONY'S PHYSICIAN ORGANIZATION SPECIALTY SERVICES LLC

Doing business as

St. Anthony's Long Term Care Specialists

Practice address

12700 Southfork Rd
Suite 105
Saint Louis, MO 63128-3201

Phone

(314) 525-1887

Fax

(314) 525-1868

NPI assigned

May 4, 2011

Last updated

Oct 12, 2016By 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

David Morton, MD

Title

Cmo

Phone

(314) 525-1153

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• St. Anthony's Long Term Care Specialists Doing business as

Member of 1

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

• Mercy Hospital South

  dba Mercy Hospice South - De Greef Hospice House

  • Community Based Hospice Care Agency
  • Saint Louis, MO
  • NPI 1295717569

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1932491263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD",
            "address_2": "SUITE 105",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283201",
            "telephone_number": "314-525-1887",
            "fax_number": "314-525-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD",
            "address_2": "SUITE 105",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283201",
            "telephone_number": "314-525-1887",
            "fax_number": "314-525-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY'S PHYSICIAN ORGANIZATION SPECIALTY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "314-525-1153",
        "authorized_official_credential": "MD"
    },
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MA3809",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MA3810",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Anthony's Long Term Care Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Anthony's Physician Organization Private Practices LC (Palliative Medicine Services)
• St Anthony's Physician Organization Private Practices LC (St Anthony's Behavioral Health Group)
• St Anthony's Physician Organization Private Practices LC (South County Endocrinology & Diabetes Center)
• St Anthony's Physician Organization Private Practices LC (Urogynecology Consultants)
• St Anthony's Physician Organization Private Practices, LC (St. Anthony's Audiology and Hearing Center)
• St Anthonys Physician Organization Hospitalist Services, L.C. (Mercy Clinic South Hospitalists)
• St Anthonys Physician Organization Hospitalist Services, L.C. (Mercy Clinic South Hospitalists)
• St Anthonys Professional Pharmacy LLC (St Anthonys Retail Pharmacy)
• St Elizabeth Adult Day Care Center
• St Elizabeth Adult Day Care Center

• 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 Oct 12, 2016; 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.