MERCY CLINIC CARDIOVASCULAR AND THORACIC SURGERY, LLC (NPI# 1528192416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528192416 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC CARDIOVASCULAR AND THORACIC SURGERY, LLC |
| Other Organization Name | ST. JOHN'S MERCY CARDIVASCULAR & THORACIC SURGERY ASSOCIATES LLC |
| Practice Address |
851 E 5th St Suite 304 Washington MO 63090-3135 |
| Mailing Address |
625 S. New Ballas Road Suite R-7040 St. Louis MO 63141 |
| Practice Telephone | 3142516970 |
| Practice Fax Number | 3142511053 |
| Mailing Telephone | 3142516970 |
| Mailing Fax Number | 3142511053 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2014-05-08 |
| Authorized Official Name | JOHN W. HUBERT (PRESIDENT) |
| Authorized Official Telephone | 3142511700 |
| 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 | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. John's Mercy Cardivascular & Thoracic Surgery Associates LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538181466 | Mercy Clinic Cardiovascular and Thoracic Surgery, LLC | Nurse Practitioner | 625 S New Ballas Rd, Suite R-7040, Saint Louis, MO 63141-8232 | 2006-07-23 |
| Street Address |
851 E 5TH ST SUITE 304 |
| City | WASHINGTON |
| State | MO |
| Zip Code | 63090-3135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781268 | Michelle L Beumer | Pediatrics | 851 E 5th St, Ste 312, Washington, MO 63090-3130 | 2005-06-21 |
| 1669018602 | Sheila Ann Buesking | Nurse Practitioner | 851 E 5th St, Washington, MO 63090-3135 | 2019-11-25 |
| 1437794898 | Amanda Leanna Martin | Dietitian, Registered | 851 E 5th St, Washington, MO 63090-3135 | 2019-11-08 |
| 1609303460 | Minami Ohta | Counselor | 851 E 5th St, Suite 200, Washington, MO 63090-3135 | 2017-05-11 |
| 1427413467 | Alison Hoglan | Social Worker | 851 E 5th St, Suite 200, Washington, MO 63090-3135 | 2015-12-17 |
| 1760857833 | Jillian Poretti | Dietitian, Registered | 851 E 5th St, Suite 226, Washington, MO 63090-3135 | 2015-12-01 |
| 1942636980 | Mercy Clinic Pain Management, LLC | Anesthesiology | 851 E 5th St, Suite 144, Washington, MO 63090-3135 | 2013-09-23 |
| 1467792523 | Marie Bernice Sander | Nurse Practitioner | 851 E 5th St, Suite 208, Washington, MO 63090-3135 | 2013-02-26 |
| 1215299482 | Deborah Bernice Beste | Nurse Practitioner | 851 E 5th St, Suite 200, Washington, MO 63090-3135 | 2012-06-13 |
| 1801154489 | Feet for Life Centers Inc PC | Podiatrist | 851 E 5th St, #228, Washington, MO 63090-3135 | 2012-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1962975839 | Jennifer Biermann | Pharmacist | 801 E 5th Street, Washington, MO 63090 | 2019-01-03 |
| 1487199733 | Kristen Elaine Cleavelin | Registered Nurse | Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 | 2016-12-22 |
| 1699146712 | Washington Community Counseling Center | Community/Behavioral Health | 421 W. 5th Street, Suite 110, Washington, MO 63090 | 2015-10-15 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1578824116 | Rhonda Ann Pepmiller | Nurse Practitioner | 851 E 5th St Ste 309, Washington, MO 63090 | 2012-05-30 |
| 1932486032 | Julie Joanne Lynch | Pharmacist | 890 Country Corners, Washington, MO 63090 | 2011-11-03 |
| 1043590839 | Laurie Elizabeth Bryson | Counselor | 102 Elm Street, Suite 204, Washington, MO 63090 | 2011-08-24 |
| 1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
| 1154640225 | Nicholas W Frederickson | Internal Medicine | 901 Patients First Drive Suite 3300, Washington, MO 63090 | 2010-05-27 |
| Find all providers in zip 63090 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802857 | Usa Vascular Centers of District of Columbia LLC | Surgery | 600 Pennsylvania Se, Suite 101a, Washington, DC 20003-4316 | 2020-08-20 |
| 1417334525 | Kyle Reynolds | Surgery | 3800 Reservoir Rd Nw Fl 4, Washington, DC 20007-2113 | 2015-04-28 |
| 1306124938 | Salim Lala | Surgery | 2150 Pennsylvania Ave Nw Ste 6b-409, Washington, DC 20037-3201 | 2011-08-01 |
| 1609195585 | Metropolitan Vascular Access | Surgery | 106 Irving St Nw Ste 408, Washington, DC 20010-2989 | 2010-05-18 |
| 1578756722 | John Franklin Lazar | Surgery | 110 Irving St Nw Rm G-253, Washington, DC 20010 | 2007-08-21 |
| 1710359211 | Usa Vein Clinics of Disctrict of Columbia, LLC | Surgery | 6323 Georgia Ave Nw, Washington, DC 20011-1101 | 2015-10-22 |
| 1558764308 | Capitol Vascular Care Pllc | Surgery | 2311 M St Nw, Suite 501, Washington, DC 20037-1445 | 2014-10-07 |
| 1922346832 | Faris Z Hakki, M.d. | Surgery | 106 Irving St Nw, Pob 408, Washington, DC 20010-2927 | 2013-01-28 |
| 1922357243 | Abdullah Alfawaz | Surgery | 110 Irving St Nw, Washington, DC 20010 | 2012-08-31 |
| 1821222001 | Steven David Abramowitz | Surgery | 106 Irving St Nw, Physician Office Building, Suite 3150 North Tower, Washington, DC 20010-2927 | 2009-05-04 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 63090 |
Please comment or provide details below to improve the information on MERCY CLINIC CARDIOVASCULAR AND THORACIC SURGERY, 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.