MERCY ACO CLINICAL SERVICES INC (NPI# 1013367986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013367986 |
| Entity Type | Organization |
| Organization Name | MERCY ACO CLINICAL SERVICES INC |
| Other Organization Name | MERCY VIRTUAL /50OK |
| Practice Address |
15740 S Outer 40 Rd Chesterfield MO 63017-2004 |
| Practice Telephone | 6362374200 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |
| Authorized Official Name | SHANNON SOCK (TREASURER) |
| Authorized Official Telephone | 3146283474 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mercy Virtual /50OK | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063965093 | Mercy Aco Clinical Services Inc | Counselor | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2016-07-26 |
| 1972056901 | Mercy Aco Clinical Services Inc | Emergency Medicine | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2016-07-26 |
| 1235682261 | Mercy Aco Clinical Services Inc | Emergency Medicine | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2016-07-26 |
| 1881147817 | Mercy Aco Clinical Services Inc | Emergency Medicine | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2016-07-26 |
| 1144773177 | Mercy Aco Clinical Services Inc | Emergency Medicine | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2016-07-26 |
| 1780137711 | Mercy Aco Clinical Services Inc | Emergency Medicine | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2016-07-26 |
| Street Address |
15740 S OUTER 40 RD |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902893811 | Cheryl L. Street | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2005-10-05 |
| 1306489083 | Lauren Mary Straszacker | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-10-24 |
| 1306496849 | Kelli Ann Nestle | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-09-17 |
| 1023679214 | Ryan Collins | Dietitian, Registered | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-06-27 |
| 1306304605 | Meghann Morris | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-03-05 |
| 1073071585 | Victoria Lynn Alstadt-johnson | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-03-05 |
| 1790259844 | Katherine Antoinette Lewis | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-01-11 |
| 1386117422 | Bree Sarner Banaszynski | Social Worker | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2019-01-10 |
| 1255803946 | Lauren Marie Hunter | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2018-12-19 |
| 1871064972 | Jacqueline Michelle Block | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2018-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255747119 | Leah Brancheck | Psychiatry & Neurology | 111 Saint Lukes Center Dr Ste 20b, Chesterfield, MO 63017-3509 | 2014-07-10 |
| 1710326939 | Emily Louise Evans | Psychiatry & Neurology | 1176 Town and Country Commons Dr, Chesterfield, MO 63017 | 2013-06-20 |
| 1659689495 | Nazish Riaz | Psychiatry & Neurology | 111 Saint Lukes Center Dr Bldg B, Chesterfield, MO 63017-3509 | 2010-09-14 |
| 1699001040 | David M. Peeples Md, LLC | Psychiatry & Neurology | 14825 North Outer 40, Suite 330a, Chesterfield, MO 63017 | 2009-10-20 |
| 1144419144 | Tariq Jawaid Alam | Psychiatry & Neurology | 1846 Winter Run Ct, Chesterfield, MO 63017-5674 | 2007-10-16 |
| 1114016391 | Todd Brook Silverman | Psychiatry & Neurology | 14825 North Outer 40 Rd Ste 330-b, Chesterfield, MO 63017-2119 | 2006-10-12 |
| 1366426900 | Max P Benzaquen | Psychiatry & Neurology | 224 South Woods Mill Road, Suite 290 South, Chesterfield, MO 63017-3451 | 2005-12-06 |
| 1487013512 | Ayman Daoud | Psychiatry & Neurology | 111 Saint Lukes Center Dr Ste 20b, Chesterfield, MO 63017-3509 | 2016-02-17 |
| 1851554554 | Max Benzaquen Md PC | Psychiatry & Neurology | 224 S Woods Mill Rd, Suite 290 South, Chesterfield, MO 63017-3451 | 2008-07-03 |
| 1073772604 | Frasat Chaudhry | Psychiatry & Neurology | 232 S Woods Mill Rd, 400 East, Chesterfield, MO 63017-3417 | 2008-06-09 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.