ST. ANTHONY'S PHYSICIAN ORGANIZATION


Address: 10010 Kennerly Rd, Attn: Cancer Care Center, Saint Louis, MO 63128-2106
Phone: 3145251688

ST. ANTHONY'S PHYSICIAN ORGANIZATION (NPI# 1023425329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023425329
Entity Type Organization
Organization Name ST. ANTHONY'S PHYSICIAN ORGANIZATION
Other Organization Name MERCY CLINIC SOUTH PHYSICIANS
Practice Address 10010 Kennerly Rd
Attn: Cancer Care Center
Saint Louis
MO 63128-2106
Practice Telephone 3145251688
Practice Fax Number 3145251689
Mailing Telephone 3145251688
Mailing Fax Number 3145251689
Enumeration Date 2014-07-18
Last Update Date 2019-01-04
Authorized Official Name MS. CHERYL MATEJKA (CFO EAST COMMUNITIES & SFO)
Authorized Official Telephone 3142511958
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QX0203X Clinic/Center
Specialization: Oncology, Radiation
273-39 MO Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Mercy Clinic South Physicians Doing Business As Name - Organization
St. Anthony's Radiation Oncology Specialists Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1801254164 St. Anthony's Physician Organization Orthopaedic Surgery 12700 Southfork Rd Ste 100, Saint Louis, MO 63128-3201 2016-02-02
1124439708 St. Anthony's Physician Organization Assisted Living Facility 9735 Landmark Parkway Dr Ste 200, Saint Louis, MO 63127-1666 2014-05-16
1992127492 St. Anthony's Physician Organization Psychiatry & Neurology 10020 Kennerly Rd Fl 2, Saint Louis, MO 63128-2106 2014-01-17
1659793305 St. Anthony's Physician Organization Internal Medicine 12700 Southfork Rd Ste 200, Saint Louis, MO 63128-3201 2014-01-15
1396065041 St. Anthony's Physician Organization Internal Medicine 12700 Souhtfork Road, Suite 200, Saint Louis, MO 63128-2106 2010-06-04
1538495353 St. Anthony's Physician Organization Internal Medicine 1001 S Kirkwood Rd Ste 300, Saint Louis, MO 63122-7250 2009-10-29
1487819512 St. Anthony's Physician Organization Internal Medicine 10296 Big Bend Blvd, Suite 111, Kirkwood, MO 63122 2008-07-29
1871093690 St. Anthony's Physician Organization Internal Medicine 10012 Kennerly Rd Ste 102, Saint Louis, MO 63128-2197 2018-02-19
1578917464 St. Anthony's Physician Organization Internal Medicine 1001 S Kirkwood Rd, Ste 300, Saint Louis, MO 63122-7254 2016-04-18
1588026421 St. Anthony's Physician Organization Internal Medicine 12700 Southfork Rd, Ste 200/220, Saint Louis, MO 63128-3201 2016-03-21

Office Location

Street Address 10010 KENNERLY RD
ATTN: CANCER CARE CENTER
City SAINT LOUIS
State MO
Zip Code 63128-2106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659374908 Udayshanker Kasinadhuni Anesthesiology 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2005-05-31
1598376287 Laura Mayer Dietitian, Registered 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-08-14
1265042014 Caitlin E Wagner Anesthesiologist Assistant 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-08-06
1881215424 Samantha Broughton Nurse Practitioner 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-05-06
1437779444 Kathleen Stebe Physical Therapist 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-04-20
1073148052 Carly Pruemer Nurse Anesthetist, Certified Registered 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-03-10
1568097541 Altan Halici Nurse Anesthetist, Certified Registered 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-03-10
1326673310 Rhyz Wilson Nurse Anesthetist, Certified Registered 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-03-10
1669007654 Megan Hahn Nurse Anesthetist, Certified Registered 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-03-10
1851925085 Katie Walsh Nurse Practitioner 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-02-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235771155 James T Fetsch Dmd LLC Dentist 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 2019-10-11
1326504655 Nikodem Dental Holdings Dentist 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 2019-02-12
1932678505 Michelle Anne Arvidson Physical Therapy Assistant Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 2018-11-13
1245726710 Kristen Rider Nurse Practitioner 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 2018-07-07
1306217427 Sophia Bednarski Dentist 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 2015-10-15
1427434224 Darcie Burrus Counselor 12523 Old Tesson Rd G, St Louis, MO 63128 2015-08-04
1710368584 Sara Hawatmeh Internal Medicine 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 2015-06-17
1871989590 Celia Grace Montes-kolence Speech-Language Pathologist 12335 W Bend Drive, Saint Louis, MO 63128 2015-04-09
1245629302 Marius Antonio Evans Dentist 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 2015-01-13
1801230313 Sarah Elizabeth Walsh Emergency Medicine 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 2013-04-26
Find all providers in zip 63128

Taxonomy Information

Taxonomy Code 261QX0203X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oncology, Radiation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710359989 Northpoint Radiation Center Gp, LLC Clinic/Center 450 N New Ballas Rd Ste 70w, Saint Louis, MO 63141-6833 2015-10-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336228949 Cancer Institute of Cape Girardeau, LLC Clinic/Center 14 Doctors Park, Suite B, Cape Girardeau, MO 63703-4928 2006-11-03
1912381005 Saint Lukes Radiation Therapy-liberty LLC Clinic/Center 2529 Glenn Hendren Dr, Suite G40, Liberty, MO 64068-9606 2015-07-17
1639508146 Ssm Regional Health Services Clinic/Center 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 2013-11-05
1154376465 Ssm St. Joseph Health Center Clinic/Center 1475 Kisker Rd, Suite 190, Saint Charles, MO 63304-8781 2006-05-24

Competitor

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City SAINT LOUIS
Zip Code 63128

Improve Information

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Dataset Information

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.

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