MERCY CLINIC SOUTH PHYSICIANS – NPI #1457722076
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

MERCY CLINIC SOUTH PHYSICIANS is a provider located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1457722076 to MERCY CLINIC SOUTH PHYSICIANS on October 08, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MERCY CLINIC SOUTH PHYSICIANS” is a dba name, the actual legal business name for this organization is ST. ANTHONY'S PHYSICIAN ORGANIZATON. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 7 years ago on Jan 04, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MERCY CLINIC SOUTH PHYSICIANS below.

NPI Profile for
ST. ANTHONY'S PHYSICIAN ORGANIZATON

NPI Number
1457722076
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. ANTHONY'S PHYSICIAN ORGANIZATON
Doing Business As (dba): MERCY CLINIC SOUTH PHYSICIANS
Primary location
11144 TESSON FERRY RD
STE 201
SAINT LOUIS, MO 63123-6965
Phone: (314) 842-4181 Fax: (314) 842-4833
Mailing address
11144 TESSON FERRY RD STE 201
SAINT LOUIS, MO 63123-6965
Phone: (314) 842-4181 Fax: (314) 842-4833
Organization Subpart
No
Authorized Official
CHERYL MATEJKA
CFO EAST COMMUNITIES & SFO
Phone: (314) 251-1958
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.