MERCY CLINIC SOUTH SUPPORT SERVICE PHYSICIANS – NPI #1316370059
Internal Medicine

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

MERCY CLINIC SOUTH SUPPORT SERVICE PHYSICIANS is a provider located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1316370059 to MERCY CLINIC SOUTH SUPPORT SERVICE PHYSICIANS on August 16, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MERCY CLINIC SOUTH SUPPORT SERVICE PHYSICIANS” is a dba name, the actual legal business name for this organization is PHYSICIANS OF ST ANTHONYS MEDICAL CENTER LC. The primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease

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 SUPPORT SERVICE PHYSICIANS below.

NPI Profile for
PHYSICIANS OF ST ANTHONYS MEDICAL CENTER LC

NPI Number
1316370059
Enumeration Date

(about 13 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
PHYSICIANS OF ST ANTHONYS MEDICAL CENTER LC
Doing Business As (dba): MERCY CLINIC SOUTH SUPPORT SERVICE PHYSICIANS
Primary location
4850 LEMAY FERRY RD
SUITE 210
SAINT LOUIS, MO 63129-1576
Phone: (314) 892-6565 Fax: (314) 892-4828
Mailing address
Same as primary location
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
207RP1001X
- Internal Medicine / Pulmonary Disease (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.