ST JOHN'S MERCY MEDICAL GROUP (NPI# 1326174079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326174079 |
Entity Type | Organization |
Organization Name | ST JOHN'S MERCY MEDICAL GROUP |
Other Organization Name | ABERCROMBIE FAMILY PRACTICE |
Practice Address |
18 Fox Valley Ctr Arnold MO 63010-2281 |
Practice Telephone | 6362829899 |
Practice Fax Number | 6362822279 |
Mailing Telephone | 6362829899 |
Mailing Fax Number | 6362822279 |
Enumeration Date | 2007-02-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. KAREN K. SLATTERY (FAMILY NURSE PRACTITIONER) |
Authorized Official Telephone | 6362829899 |
Authorized Official Credential | FNP, GNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN127212 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Abercrombie Family Practice | Doing Business As Name - Organization |
Street Address |
18 FOX VALLEY CTR |
City | ARNOLD |
State | MO |
Zip Code | 63010-2281 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649581745 | Keith Alan Georger | Internal Medicine | 18 Fox Valley Ctr, Arnold, MO 63010-2281 | 2010-06-23 |
1619141975 | Karen K Slattery | Nurse Practitioner | 18 Fox Valley Ctr, Arnold, MO 63010-2281 | 2008-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952962474 | Kayla Davelle Thompson | Occupational Therapist | 4 Arnold Park Mall, Arnold, MO 63010 | 2019-06-25 |
1750884466 | Casey Brooks | Chiropractor | 28 Fox Valley Ctr, Arnold, MO 63010 | 2018-03-09 |
1831628247 | Lice Clinics of America | Technician, Other | 39 Fox Valley, Arnold, MO 63010 | 2017-06-08 |
1235668633 | Lauren Mareschal | Occupational Therapist | 4 Arnold Park, Arnold, MO 63010 | 2017-06-08 |
1851760292 | Valerie Tribl | Registered Nurse | 3937 Vogel Road, Walgreens Healthcare Clinic, Arnold, MO 63010 | 2015-09-16 |
1942615265 | Rachel Kyllo | Dermatology | 3783 Vogel Rd, Arnold, MO 63010 | 2014-06-25 |
1538584669 | Alex Sharifian Dds Water Tower Dental Group PC | Dentist | 2231 Michigan Avenue, Arnold, MO 63010 | 2014-02-26 |
1669897815 | Diana E Toler | Chiropractor | 2190 Tenbrook Rd, Arnold, MO 63010 | 2014-02-25 |
1902163280 | Sheila Kay Schaefer | Physical Therapist | 3488 Jeffco Blvd., Suite 102, Arnold, MO 63010 | 2012-04-11 |
1639400179 | Arnold Physical Therapy & Sports Medicine LLC | Clinic/Center | #160 Richardson Crossing, Arnold, MO 63010 | 2010-01-22 |
Find all providers in zip 63010 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104303403 | Marija Grgic | Nurse Practitioner | 2105 Sante Fe Cir, Arnold, MO 63010-5215 | 2018-07-19 |
1083133177 | Charity Michelle Huff | Nurse Practitioner | 3619 Richardson Square Dr Ste 100, Arnold, MO 63010-6014 | 2017-09-11 |
1639611767 | Russell Smith | Nurse Practitioner | 1230 Bay Dale Dr, Arnold, MD 21012-2325 | 2016-11-07 |
1649657982 | Molly Katherine Mckinney | Nurse Practitioner | 1300 Ritchie Hwy Ste B, Arnold, MD 21012-2244 | 2015-05-06 |
1205233194 | Crystal Haus | Nurse Practitioner | 1103 Warren Ave, Arnold, PA 15068-4047 | 2014-11-21 |
1689690810 | Glen A Sinks | Nurse Practitioner | 4371 Iron Mountain Blf, Arnold, MO 63010-4370 | 2006-07-14 |
1699720540 | Susan Ferbet | Nurse Practitioner | 3937 Vogel Rd, Arnold, MO 63010-3798 | 2006-05-22 |
1164423455 | Mary Ann Gardiner | Nurse Practitioner | 1509 Ritchie Hwy, Arnold, MD 21012-2742 | 2005-08-09 |
1477198596 | Darcee Bair Schmitt | Nurse Practitioner | 1296 Jeffco Blvd, Arnold, MO 63010-2138 | 2019-11-13 |
1952954331 | Katie Michael Clements | Nurse Practitioner | 1509 Ritchie Hwy, Arnold, MD 21012-2742 | 2019-07-24 |
Find all providers in ARNOLD |
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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.