ST JOHNS MERCY MEDICAL CENTER (NPI# 1699809582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699809582 |
| Entity Type | Organization |
| Organization Name | ST JOHNS MERCY MEDICAL CENTER |
| Practice Address |
12680 Olive Blvd Saint Louis MO 63141-6322 |
| Practice Telephone | 3142518882 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KATHY ELLEN MANKOFSKY (CLINICAL DIETITIAN) |
| Authorized Official Telephone | 3142518882 |
| Authorized Official Credential | RD, LD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 2001010699 | MO | Hospitals |
| Street Address |
12680 OLIVE BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-6322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619359486 | Sara Mendelow Wootten | Nurse Practitioner | 12680 Olive Blvd, Suite 300, Saint Louis, MO 63141-6322 | 2015-06-29 |
| 1336302868 | Vani Sharma | Internal Medicine | 12680 Olive Blvd, Ste. 100, Saint Louis, MO 63141-6322 | 2008-07-03 |
| 1346414034 | Lauren Elizabeth Sachs Wilfling | Family Medicine | 12680 Olive Blvd, Ste 300, Saint Louis, MO 63141-6322 | 2008-04-15 |
| 1972728772 | Pamela Ann Lazaroff | Dietitian, Registered | 12680 Olive Blvd, Suite 10, Saint Louis, MO 63141-6322 | 2007-04-16 |
| 1790802189 | Joseph P. Drozda | Specialist | 12680 Olive Blvd, Suite 200, Saint Louis, MO 63141-6322 | 2007-03-23 |
| 1750407524 | Robert E. Ryan | Specialist | 12680 Olive Blvd, Suite 200, Saint Louis, MO 63141-6322 | 2007-03-22 |
| 1790856094 | Brooke Elizabeth Farley | Pharmacist | 12680 Olive Blvd, Suite 300, Saint Louis, MO 63141-6322 | 2006-11-10 |
| 1083708374 | Jill Lynne Stoneman | Nurse Practitioner | 12680 Olive Blvd, Suite 200, Saint Louis, MO 63141-6322 | 2006-10-03 |
| 1982610499 | Sarah Z. Cole | Family Medicine | 12680 Olive Blvd, Suite 300, Saint Louis, MO 63141-6322 | 2006-08-01 |
| 1881612349 | Nancy O Bourgeois | Nurse Practitioner | 12680 Olive Blvd, Suite 100, Saint Louis, MO 63141-6322 | 2006-07-17 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912368002 | Emily Daniels | General Acute Care Hospital | 1737 Redbird Cv, Saint Louis, MO 63144-1610 | 2016-03-16 |
| 1841698164 | Mercy Clinic East Community | General Acute Care Hospital | 1021 Darwick Ct, Saint Louis, MO 63132-2909 | 2014-12-18 |
| 1730528662 | Barnes Jewish Hospital | General Acute Care Hospital | 4512 Cleveland Ave, Apt 12, Saint Louis, MO 63110-3318 | 2013-06-25 |
| 1720355068 | Ipc The Hospitalist Company | General Acute Care Hospital | 12125 Woodcrest Executive Dr Ste 220, Saint Louis, MO 63141-5010 | 2011-11-30 |
| 1346520400 | Barnes Jewish Hospital | General Acute Care Hospital | 1 Barnes Plaza, Saint Louis, MO 63110-1003 | 2011-08-22 |
| 1245527068 | Barnes Jewish Hospital | General Acute Care Hospital | 4460 Greenwich Ct, Apt B9, Saint Louis, MO 63108-2558 | 2011-06-30 |
| 1649429945 | Des Peres Hospital | General Acute Care Hospital | 12442 Bennett Springs Court, Saint Louis, MO 63146 | 2008-09-11 |
| 1760687255 | Saint Louis University Hospital | General Acute Care Hospital | 7730 Attingham Ln, Saint Louis, MO 63119-5470 | 2007-06-15 |
| 1154455095 | St. John's Mercy Medical Center | General Acute Care Hospital | 12680 Olive Blvd Ste 10, Saint Louis, MO 63141-6322 | 2007-03-15 |
| 1649299827 | Barnes Jewish Hospital | General Acute Care Hospital | 1 Barnes-jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2006-07-19 |
| 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.