MERCY ARCH HEMATOLOGY ONCOLOGY GROUP INC. (NPI# 1356316103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356316103 |
| Entity Type | Organization |
| Organization Name | MERCY ARCH HEMATOLOGY ONCOLOGY GROUP INC. |
| Other Organization Name | MERCY CANCER CARE |
| Practice Address |
607 S New Ballas Rd Suite 3300 Saint Louis MO 63141-8219 |
| Practice Telephone | 3142514986 |
| Practice Fax Number | 3142516375 |
| Mailing Telephone | 3142514986 |
| Mailing Fax Number | 3142516375 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2010-02-04 |
| Authorized Official Name | BURTON M NEEDLES (PRESIDENT) |
| Authorized Official Telephone | 3142514986 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 500583703 | 05 | |
| MO | 500586706 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Cancer Care | Doing Business As Name - Organization |
| Street Address |
607 S NEW BALLAS RD SUITE 3300 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-8219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104813633 | Nishan Chobanian Jr. | Obstetrics & Gynecology | 607 S New Ballas Rd, Saint Louis, MO 63141-8222 | 2005-09-30 |
| 1861814386 | Bethany Sleckman | Internal Medicine | 607 S New Ballas Rd, Suite 3425, Saint Louis, MO 63141-8222 | 2014-01-17 |
| 1952612020 | Matthew Edward Johnson | Radiology | 607 S New Ballas Rd, Suite T1275, Saint Louis, MO 63141-8222 | 2010-06-23 |
| 1972827673 | Melissa Shepard | Physical Therapist | 607 S New Ballas Rd, Saint Louis, MO 63141-8222 | 2010-03-24 |
| 1912160052 | Gregory Mclennan | Surgery | 607 S New Ballas Rd, Suite 3100, Saint Louis, MO 63141-8222 | 2008-07-09 |
| 1497936231 | Jeffrey Michael Craft | Radiology | 607 S New Ballas Rd, Suite T1275, Saint Louis, MO 63141-8222 | 2007-11-20 |
| 1669671541 | Mercy Clinic Gyn Oncology, LLC | Obstetrics & Gynecology | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-8219 | 2007-07-12 |
| 1780880633 | Gautum Agarwal | Urology | 607 S New Ballas Rd, Suite 3100, Saint Louis, MO 63141-8222 | 2007-06-26 |
| 1104038249 | Shaun C Donegan | Internal Medicine | 607 S New Ballas Rd, Suite 3300, Saint Louis, MO 63141-8222 | 2007-05-03 |
| 1023236700 | Rebecca Adams | Speech-Language Pathologist | 607 S New Ballas Rd, Suite 2300, Saint Louis, MO 63141-8222 | 2007-04-20 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1235480708 | James Michael Epstein | Internal Medicine | 12008 Heatherdane Dr, Saint Louis, MO 63131-3119 | 2012-09-25 |
| 1639389869 | Christina J Min | Internal Medicine | 607 S New Ballas Rd Ste 3300, Saint Louis, MO 63141 | 2007-05-23 |
| 1679519508 | Susan L Luedke | Internal Medicine | 6435 Chippewa St, Saint Louis, MO 63109-2104 | 2006-06-20 |
| 1154323376 | Minxiang Gu | Internal Medicine | 10012 Kennerly Rd, Suite 100, Saint Louis, MO 63128-2197 | 2005-06-01 |
| 1679576359 | Peter D Weiss | Internal Medicine | 4921 Parkview Pl, Ste 14b, Saint Louis, MO 63110-1032 | 2005-05-24 |
| 1659865640 | Michael Harris Kramer | Internal Medicine | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-06-21 |
| 1871093690 | St. Anthony's Physician Organization | Internal Medicine | 10012 Kennerly Rd Ste 102, Saint Louis, MO 63128-2197 | 2018-02-19 |
| 1821518036 | David Aaron Russler-germain | Internal Medicine | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2017-06-20 |
| 1881049187 | Alice Yao Zhou | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2016-04-25 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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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.