Active NPI
Philip L Mar, M.D., PHARM.D.
- Clinical Cardiac Electrophysiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 2019015018
- Practice address
- 3635 Vista Ave FL 15
Saint Louis, MO 63110-2539 - Phone
- (314) 268-7975
- NPI assigned
- Jun 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 2019015018 | MO | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 2019015018 | MO |
Addresses
Primary practice location
3635 Vista Ave FL 15
Saint Louis, MO 63110-2539
Mailing address
550 S Jackson St
Louisville, KY 40202-1622
Phone (502) 852-5241
Other practice location 1
1800 N Capitol Ave Bldg E371
Indianapolis, IN 46202-1218
Phone (317) 962-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Medical College of Georgia School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10101 Woodfield LN
Saint Louis, MO 63132-2946
Phone (608) 280-4647
1034 S Brentwood Blvd
Suite 1120
Saint Louis, MO 63117-1211
Phone (314) 977-4663
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
1225 S Grand Blvd
Saint Louis, MO 63104-1016
3331 W Deyoung St
Marion, IL 62959-5896
Phone (618) 998-7600
3635 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 257-7400
3655 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 977-4663
3685 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 257-7000
6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone (314) 768-8208
Hospital & facility affiliations
- SSM Health Saint Louis University Hospital
- Heartland Regional Medical Center
- SSM Health St Mary'S Hospital - St Louis
- Good Samaritan Regional HLTH Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| SSM Health Care Group | Cardiovascular Disease | Current | Accepting new patients |
| Deaconess Illinois Specialty Clinic, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| SSM-Sluh Inc | Past | Accepting new patients |
Locations
303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050
3331 W Deyoung St
Marion, IL 62959
Phone (618) 985-9140
3331 W Deyoung St
Ste 305
Marion, IL 62959
Phone (618) 998-7089
3331 W Deyoung St
Ste 100
Marion, IL 62959
Phone (618) 998-7600
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939
3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
3635 Vista Ave
Fl 15
Saint Louis, MO 63110
Phone (314) 268-7975
Interoperability endpoints
- pmar143@yourcarecommunity.org
- pmar312301@direct-ehr-ssmhc.com
- phillip.mar.1@27782.direct.athenahealth.com
- pmar422575@direct.deaconess.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
Cardiovascular Disease
-
- Surgery Physician
- Marion, IL
- NPI 1972210235
Cardiovascular Disease
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Hospitalist Physician
- Anna, IL
- NPI 1225858251
-
- Nurse Practitioner
- Harrisburg, IL
- NPI 1851008338
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
-
- General Acute Care Hospital
- Marion, IL
- NPI 1750007266
-
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562284800000",
"number": "1982999462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S JACKSON ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021622",
"telephone_number": "502-852-5241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 VISTA AVE FL 15",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102539",
"telephone_number": "314-268-7975"
}
],
"practiceLocations": [
{
"address_1": "1800 N Capitol Ave Bldg E371",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021218",
"country_code": "US",
"telephone_number": "317-962-0500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAR",
"first_name": "PHILIP",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D., PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2019-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MO",
"license": "2019015018",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "2019015018",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.