MERCY CLINIC CHILDREN'S HEART CENTER, LLC


Address: 621 S New Ballas Road, Suite 198-a, St Louis, MO 63141-8255
Phone: 3142516777

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 500211800 05

Other Provider/Organization Names

Other Name Type Code
Mercy Childrens Heart Center, LLC Former Legal Business Name - Organization

Office Location

Street Address 621 S NEW BALLAS ROAD
SUITE 198-A
City ST LOUIS
State MO
Zip Code 63141-8255

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City ST LOUIS
Zip Code 63141

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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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