MERCY HOSPITAL ST. LOUIS PROFESSIONAL SURGICAL SERVICES LLC (NPI# 1154782340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154782340 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL ST. LOUIS PROFESSIONAL SURGICAL SERVICES LLC |
| Practice Address |
625 S New Ballas Rd Saint Louis MO 63141-8253 |
| Practice Telephone | 3143644347 |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |
| Authorized Official Name | MR. JEFF JOHNSTON (PRESIDENT-MERCY HOSPITAL ST. LOUIS) |
| Authorized Official Telephone | 3142511932 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
625 S NEW BALLAS RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-8253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738201 | Louis P Stickley | Internal Medicine | 625 S New Ballas Rd, Ste 2030, Saint Louis, MO 63141-8253 | 2005-05-23 |
| 1275078339 | Anne Elizabeth Robinson | Physician Assistant | 625 S New Ballas Rd, Suite R-7040, Saint Louis, MO 63141-8253 | 2016-12-28 |
| 1548705601 | Renee Suzanne Kertz | Physician Assistant | 625 S New Ballas Rd, Suite R-7040, Saint Louis, MO 63141-8253 | 2016-12-28 |
| 1407399736 | Nicole Michelle Rohr | Nurse Practitioner | 625 S New Ballas Rd, Suite 2015, Saint Louis, MO 63141-8253 | 2016-11-18 |
| 1437691540 | Danielle Getsee | Physician Assistant | 625 S New Ballas Rd, Saint Louis, MO 63141-8253 | 2016-11-07 |
| 1093165946 | Catherine Ann Vasilevski | Internal Medicine | 625 S New Ballas Rd, Saint Louis, MO 63141-8253 | 2016-06-21 |
| 1932557964 | Leah Jones | Nurse Practitioner | 625 S New Ballas Rd, Saint Louis, MO 63141-8253 | 2016-05-31 |
| 1568848414 | Kyle Hoff | Physician Assistant | 625 S New Ballas Rd, Suite R7040, Saint Louis, MO 63141-8253 | 2015-08-03 |
| 1841613205 | Nora Elizabeth O'brien | Nurse Practitioner | 625 S New Ballas Rd, Suite 20130, Saint Louis, MO 63141-8253 | 2014-01-21 |
| 1003175621 | Marie A Lopez | Physician Assistant | 625 S New Ballas Rd, Saint Louis, MO 63141-8253 | 2012-05-16 |
| Find all providers in the same location | ||||
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336314715 | Rebecca May Palis | Physician Assistant | 1 Childrens Pl Ste 4s, Ste 4s, Saint Louis, MO 63110-1002 | 2008-04-25 |
| 1528245529 | Darlene F Bry | Physician Assistant | 1108 Olive St, Saint Louis, MO 63101-1922 | 2008-01-22 |
| 1811039969 | Rebecca G Adams | Physician Assistant | 621 S New Ballas Rd Ste 297a, Saint Louis, MO 63141-8200 | 2007-02-13 |
| 1255899316 | Mckenna E Roberts | Physician Assistant | 621 S New Ballas Rd Ste 297a, Saint Louis, MO 63141-8200 | 2019-03-07 |
| 1417445941 | Madeleine A Garman | Physician Assistant | 3015 N Ballas Rd, Saint Louis, MO 63131-2374 | 2018-04-30 |
| 1265938633 | Ella Kathleen Barber | Physician Assistant | 845 N New Ballas Ct Ste 200, Saint Louis, MO 63141-7169 | 2018-04-03 |
| 1780193300 | Rebecca Hruska | Physician Assistant | 615 S Ballas Rd, Saint Louis, MO 63122-5314 | 2017-09-26 |
| 1275078339 | Anne Elizabeth Robinson | Physician Assistant | 625 S New Ballas Rd, Suite R-7040, Saint Louis, MO 63141-8253 | 2016-12-28 |
| 1548705601 | Renee Suzanne Kertz | Physician Assistant | 625 S New Ballas Rd, Suite R-7040, Saint Louis, MO 63141-8253 | 2016-12-28 |
| 1437691540 | Danielle Getsee | Physician Assistant | 625 S New Ballas Rd, Saint Louis, MO 63141-8253 | 2016-11-07 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on MERCY HOSPITAL ST. LOUIS PROFESSIONAL SURGICAL SERVICES LLC.
| 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.