MERCY CLINIC CHILDREN'S HEART CENTER, LLC (NPI# 1144399338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144399338 |
Entity Type | Organization |
Organization Name | MERCY CLINIC CHILDREN'S HEART CENTER, LLC |
Other Organization Name | MERCY CHILDRENS HEART CENTER, LLC |
Practice Address |
621 S New Ballas Road Suite 198-a St Louis MO 63141-8255 |
Practice Telephone | 3142516777 |
Practice Fax Number | 3142515859 |
Mailing Telephone | 3142516777 |
Mailing Fax Number | 3142515859 |
Enumeration Date | 2006-11-06 |
Last Update Date | 2020-10-14 |
Authorized Official Name | MR. JEFFREY CIARAMITA (PRESIDENT) |
Authorized Official Telephone | 3142511952 |
Authorized Official Credential | M.D. |
Is Organization Subpart | Y |
Parent Organization Name | MERCY CLINIC EAST COMMUNITIES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 500211800 | 05 |
Other Name | Type Code |
---|---|
Mercy Childrens Heart Center, LLC | Former Legal Business Name - Organization |
Street Address |
621 S NEW BALLAS ROAD SUITE 198-A |
City | ST LOUIS |
State | MO |
Zip Code | 63141-8255 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154988327 | Cody Marie Eckelkamp | Nurse Practitioner | 621 S New Ballas Road, St Louis, MO 63141 | 2019-05-23 |
1174799605 | Helen Weaver | Registered Nurse | 621 S New Ballas Road, St Johns Mercy Medical Center Nicu, St Louis, MO 63141 | 2008-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
Find all providers in zip 63141 |
Taxonomy Code | 2080P0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Cardiology |
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669023388 | Kansas City Pediatric Cardiology Associates | Pediatrics | 4150 N Mulberry Dr Ste 150, Kansas City, MO 64116-1764 | 2019-09-24 |
1205255379 | Manoj Parimi | Pediatrics | 621 S New Ballas Rd Ste 198a, Saint Louis, MO 63141-8255 | 2014-04-15 |
1255389920 | William Baker Drake IIi | Pediatrics | 4150 N Mulberry Dr, Suite 150, Kansas City, MO 64116-1779 | 2006-05-05 |
1063460079 | Catherine Ong Simon | Pediatrics | 2401 Gillham, Children's Mercy Hospital, Kansas City, MO 64108 | 2006-05-04 |
1467458943 | Allan James Shapiro | Pediatrics | 500 N Keene St, Ste 207, Columbia, MO 65201-8105 | 2005-06-21 |
1710983291 | Armin Jared Wagman | Pediatrics | 4350 S National Ave, # C-100, Springfield, MO 65810-2607 | 2005-06-21 |
1356792881 | Maria G Kiaffas | Pediatrics | 2401 Gillham Rd., Dept. of Cardiology, Kansas City, MO 64108-4619 | 2016-06-27 |
1841623626 | John Papagiannis | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2013-08-15 |
1730522723 | Matthew Louis Moehlmann | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2013-04-09 |
1760747026 | Gloria Chansong Lehmann | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104 | 2012-07-11 |
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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.