Active NPI
St Mary's Health Center
- Internal Medicine Physician
- Saint Louis, MO
National Provider Identifier
1992934012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2009006291
- Legal business name
- ST MARY'S HEALTH CENTER
- Practice address
- 6420 Clayton Rd
St Mary's Health Center
Saint Louis, MO 63117-1811 - Phone
- (314) 768-8778
- NPI assigned
- Jul 10, 2009
- Last updated
- Jul 10, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Morey Gardner
- Title
- Program Director Internal Medicine
- Phone
- (314) 768-8778
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2009006291 | MO | Primary |
Addresses
Primary practice location
6420 Clayton Rd
St Mary's Health Center
Saint Louis, MO 63117-1811
Mailing address
4571 Gibson Ave
Saint Louis, MO 63110-1519
Phone (314) 534-6303
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Infectious Disease Physician
- Saint Louis, MO
- NPI 1972646776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247184000000",
"number": "1992934012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4571 GIBSON AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101519",
"telephone_number": "314-534-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 CLAYTON RD",
"address_2": "ST MARY'S HEALTH CENTER",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171811",
"telephone_number": "314-768-8778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST MARY'S HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-10",
"last_updated": "2009-07-10",
"status": "A",
"authorized_official_last_name": "GARDNER",
"authorized_official_first_name": "MOREY",
"authorized_official_title_or_position": "PROGRAM DIRECTOR INTERNAL MEDICINE",
"authorized_official_telephone_number": "314-768-8778"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MO",
"license": "2009006291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- St Lukes Center for Diagnostic Imaging LLC
- St Marie Home Care LLC
- Hannah Eileen St Peters
- Marissa St Peters
- St. Alexius Hospital Corporation 1
- St. Andrew's at Home Services, LLC (St. Andrew's Senior Solutions)
- St. Andrew's at Home Services, LLC (St. Andrew's Senior Solutions)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.