ST. ANTHONY'S PHYSICIAN ORGANIZATION (NPI# 1811319320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811319320 |
| Entity Type | Organization |
| Organization Name | ST. ANTHONY'S PHYSICIAN ORGANIZATION |
| Other Organization Name | MERCY CLINIC SOUTH PHYSICIANS |
| Practice Address |
10004 Kennerly Rd Suite 205a Saint Louis MO 63128-2141 |
| Practice Telephone | 3145254327 |
| Practice Fax Number | 3145254368 |
| Mailing Telephone | 3145254327 |
| Mailing Fax Number | 3145254368 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | MS. CHERYL MATEJKA (CFO EAST COMMUNITIES & SFO) |
| Authorized Official Telephone | 3142511958 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE PTAN | 000015644 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Clinic South Physicians | Doing Business As Name - Organization |
| St. Anthony's Audiology Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801254164 | St. Anthony's Physician Organization | Orthopaedic Surgery | 12700 Southfork Rd Ste 100, Saint Louis, MO 63128-3201 | 2016-02-02 |
| 1124439708 | St. Anthony's Physician Organization | Assisted Living Facility | 9735 Landmark Parkway Dr Ste 200, Saint Louis, MO 63127-1666 | 2014-05-16 |
| 1992127492 | St. Anthony's Physician Organization | Psychiatry & Neurology | 10020 Kennerly Rd Fl 2, Saint Louis, MO 63128-2106 | 2014-01-17 |
| 1659793305 | St. Anthony's Physician Organization | Internal Medicine | 12700 Southfork Rd Ste 200, Saint Louis, MO 63128-3201 | 2014-01-15 |
| 1396065041 | St. Anthony's Physician Organization | Internal Medicine | 12700 Souhtfork Road, Suite 200, Saint Louis, MO 63128-2106 | 2010-06-04 |
| 1538495353 | St. Anthony's Physician Organization | Internal Medicine | 1001 S Kirkwood Rd Ste 300, Saint Louis, MO 63122-7250 | 2009-10-29 |
| 1487819512 | St. Anthony's Physician Organization | Internal Medicine | 10296 Big Bend Blvd, Suite 111, Kirkwood, MO 63122 | 2008-07-29 |
| 1871093690 | St. Anthony's Physician Organization | Internal Medicine | 10012 Kennerly Rd Ste 102, Saint Louis, MO 63128-2197 | 2018-02-19 |
| 1578917464 | St. Anthony's Physician Organization | Internal Medicine | 1001 S Kirkwood Rd, Ste 300, Saint Louis, MO 63122-7254 | 2016-04-18 |
| 1588026421 | St. Anthony's Physician Organization | Internal Medicine | 12700 Southfork Rd, Ste 200/220, Saint Louis, MO 63128-3201 | 2016-03-21 |
| Street Address |
10004 KENNERLY RD SUITE 205A |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053317313 | Sylvia Ann Steiling | Surgery | 10004 Kennerly Rd, Ste 137a, Saint Louis, MO 63128-2140 | 2005-06-22 |
| 1376166066 | Nhs South LLC | Internal Medicine | 10004 Kennerly Rd, Saint Louis, MO 63128-2141 | 2020-05-28 |
| 1932690567 | Kristin Leigh Wall | Registered Nurse | 10004 Kennerly Rd, Saint Louis, MO 63128-2141 | 2018-05-18 |
| 1447795695 | Laura Michler | Nurse Practitioner | 10004 Kennerly Rd, Ste 115a, Saint Louis, MO 63128-2141 | 2016-12-27 |
| 1346796562 | Jennifer Lynn Seib | Nurse Practitioner | 10004 Kennerly Rd, Ste. 255a, Saint Louis, MO 63128-2141 | 2016-08-28 |
| 1528415536 | Community & Long-term Care Psychiatry LLC | Behavioral Analyst | 10004 Kennerly Rd, Ste 362b, Saint Louis, MO 63128-2141 | 2016-05-19 |
| 1083081004 | Frank H Gafford Md, PC | Internal Medicine | 10004 Kennerly Rd, Suite 283b, Saint Louis, MO 63128-2141 | 2015-08-25 |
| 1710375340 | Sabina Smajis | Nurse Practitioner | 10004 Kennerly Rd, Saint Louis, MO 63128-2141 | 2015-01-05 |
| 1962810952 | St. Anthony's Physician Organization | Internal Medicine | 10004 Kennerly Rd, Suite 200a, Saint Louis, MO 63128-2141 | 2014-07-23 |
| 1457766255 | St. Anthony's Physician Organization | Obstetrics & Gynecology | 10004 Kennerly Rd, Ste 395b, Saint Louis, MO 63128-2141 | 2014-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415381 | Eleni Beeve | Audiologist | 10004 Kennerly Rd Ste 205a, Saint Louis, MO 63128-5108 | 2020-10-19 |
| 1033695143 | Chelsea Marie Tisckos | Audiologist | 6400 Clayton Rd Ste 405, Saint Louis, MO 63117-1850 | 2018-07-12 |
| 1770076317 | Samantha Fox | Audiologist | 615 S New Ballas Rd Ste 385a, Saint Louis, MO 63141-8221 | 2018-06-08 |
| 1952826224 | Julia Stelmach | Audiologist | 621 S New Ballas Rd Ste 307a, Saint Louis, MO 63141-8257 | 2017-08-08 |
| 1386168318 | Lauren Christyne Locke | Audiologist | 1 Childrens Pl Ste 3s23, Saint Louis, MO 63110 | 2017-08-01 |
| 1891216123 | Elizabeth Ann Suba | Audiologist | 3660 Vista Ave Ste 312, Saint Louis, MO 63110-2540 | 2017-06-27 |
| 1114368214 | Kathleen R Rehrer | Audiologist | 3009 N Ballas Rd Ste 380c, Saint Louis, MO 63131-2324 | 2013-07-17 |
| 1861735938 | Ashley Rae Manning | Audiologist | 906 Rutger St, Saint Louis, MO 63104-3517 | 2013-03-27 |
| 1477864072 | Kenneth Ernest Marciniak | Audiologist | 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141-8234 | 2010-06-29 |
| 1720210032 | Kristen Willis | Audiologist | 3860 S Lindbergh Blvd, Ste. #108, Saint Louis, MO 63127-1373 | 2009-08-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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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.