MERCY CLINIC POST ACUTE SERVICES, LLC (NPI# 1841565835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841565835 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC POST ACUTE SERVICES, LLC |
| Practice Address |
621 S New Ballas Rd Suite 1015-b Saint Louis MO 63141-8232 |
| Practice Telephone | 3142514652 |
| Practice Fax Number | 3142515715 |
| Mailing Telephone | 3142514652 |
| Mailing Fax Number | 3142515715 |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |
| Authorized Official Name | JOHN W. HUBERT (PRESIDENT) |
| Authorized Official Telephone | 3142511560 |
| 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 |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
621 S NEW BALLAS RD SUITE 1015-B |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-8232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790788941 | Robert J Backer | Specialist | 621 S New Ballas Rd, Ste 297a, Saint Louis, MO 63141-8232 | 2005-05-23 |
| 1609362474 | Manesh Kumar Gangwani | Internal Medicine | 621 S New Ballas Rd, Saint Louis, MO 63141-8232 | 2018-07-05 |
| 1164918165 | Ayesha Farrukh | Internal Medicine | 621 S New Ballas Rd, Saint Louis, MO 63141-8232 | 2018-07-03 |
| 1720573769 | Chelsea Renee Drissell | Family Medicine | 621 S New Ballas Rd, Saint Louis, MO 63141 | 2018-06-22 |
| 1023502358 | Bryan Gabriel Acree | Internal Medicine | 621 S New Ballas Rd, Saint Louis, MO 63141-8232 | 2018-06-20 |
| 1700370996 | Kathryn Emily Harvey-feldewerth | Internal Medicine | 621 S New Ballas Rd, Saint Louis, MO 63141-8232 | 2018-06-20 |
| 1063906493 | Paul Pearson Panasiuk | Obstetrics & Gynecology | 621 S New Ballas Rd, Saint Louis, MO 63141-8232 | 2018-06-19 |
| 1558855056 | Jessica Jenkins | Obstetrics & Gynecology | 621 S New Ballas Rd, Saint Louis, MO 63141-8232 | 2018-06-18 |
| 1679067276 | Kristopher Vaughn Pullam | Family Medicine | 621 S New Ballas Rd, Saint Louis, MO 63141-8232 | 2018-06-18 |
| 1932693629 | Lawrence Andrew Rudolf | Family Medicine | 621 S New Ballas Rd, Saint Louis, MO 63141-8232 | 2018-06-18 |
| 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 | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255885943 | Seasons Medical Group of Missouri PC | Family Medicine | 3660 S Geyer Rd, Ste 120, Saint Louis, MO 63127-1223 | 2016-08-10 |
| 1487815643 | Mercy Clinic Palliative Care, LLC | Family Medicine | 621 S New Ballas Rd, Suite 1015-b, Saint Louis, MO 63141-8232 | 2008-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841656220 | Timothy Link | Family Medicine | Kansas City Hospice & Palliative Care, 1500 Meadow Lake Parkway, Ste 200, Kansas City, MO 64114-1615 | 2016-01-14 |
| 1932107521 | Mark A Wiles | Family Medicine | 1500 Meadow Lake Pkwy Ste 200, Kansas City, MO 64114-1615 | 2005-07-08 |
| 1093366999 | Cox Hps of The Ozarks, Inc. | Family Medicine | 2240 W Sunset St Ste 104, Springfield, MO 65807-6041 | 2019-09-23 |
| 1700366218 | Regina Marie Frazier | Family Medicine | 10 Doctors Park, Cape Girardeau, MO 63703-4928 | 2018-08-15 |
| 1669965273 | Golden Valley Memorial Hospital District | Family Medicine | 725 E Ohio St, Clinton, MO 64735 | 2018-06-08 |
| 1144734997 | Lester E Cox Medical Centers | Family Medicine | 1550 E Sunshine St, Springfield, MO 65804-1214 | 2017-11-30 |
| 1922517200 | Summit Family Care, LLC | Family Medicine | 517 Se 2nd St Ste A, Lees Summit, MO 64063-2629 | 2017-09-29 |
| 1669763751 | Rhonda Kay Gaugh | Family Medicine | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2011-04-25 |
| 1053539874 | Brookside Family Medicine Inc | Family Medicine | 7130 Wornall Rd, Kansas City, MO 64114-1344 | 2007-04-24 |
| 1790727816 | Frank H Lewis | Family Medicine | 1500 Meadow Lake Pkwy Ste 200, Kansas City, MO 64114 | 2006-06-12 |
| Find all providers with the same taxonomy | ||||
| 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.