Mercy Clinic Kids Plastic Surgery, LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

MERCY CLINIC KIDS PLASTIC SURGERY, LLC

Practice address

621 S New Ballas Rd
Suite 260-a
Saint Louis, MO 63141-8232

Phone

(314) 251-4772

Fax

(314) 251-5772

NPI assigned

Mar 6, 2007

Organization subpart

Yes

Parent organization

MERCY CLINIC EAST COMMUNITIESAs reported in NPPES

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

Authorized official

Name

Kerry Dunger

Title

Executive Director - Finance

Phone

(314) 364-3707

Specialties & licenses 1

Addresses

Other names 1

• Kids Plastic Surgery, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Part of

Unity Medical GRP

Member of 1

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

• Mercy Clinic East Communities

  • Rural Health Clinic/Center
  • Bourbon, MO
  • NPI 1235493776

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mercy Clinic East Communities

  • Endocrinology, Diabetes & Metabolism Physician
  • Ballwin, MO
  • NPI 1700370061
  NPPES parent name

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.

• Jennifer Michelle Heeley, MD

  • Clinical Genetics (M.D.) Physician
  • Saint Louis, MO
  • NPI 1710116207
  Medicare reassignment NPD

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1942330477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 260-A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-4772",
            "fax_number": "314-251-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 260-A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-4772",
            "fax_number": "314-251-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CLINIC KIDS PLASTIC SURGERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY CLINIC EAST COMMUNITIES",
        "enumeration_date": "2007-03-06",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "DUNGER",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR - FINANCE",
        "authorized_official_telephone_number": "314-364-3707"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Plastic Surgery, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Plastic and Reconstructive Surgery Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Plastic and Reconstructive Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.