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MERCY CLINIC CHILDREN'S SURGERY LLC NPI 1649349804


NPI Information

NPI: 1649349804
Provider Name: MERCY CLINIC CHILDREN'S SURGERY, LLC

Former Legal Business Name: MERCY CHILDREN'S SURGERY ASSOCIATES

Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
621 S. NEW BALLAS ROAD
SUITE 6018-B
ST. LOUIS, MO
ZIP 63141
Phone: (314) 251-5940
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MERCY CLINIC CHILDREN'S SURGERY, LLC is a pediatric surgery surgery in St. Louis, MO. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. MERCY CLINIC CHILDREN'S SURGERY, LLC NPI is 1649349804. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Mercy Children's Surgery Associates.

The provider's business location address is:

621 S. NEW BALLAS ROAD
SUITE 6018-B
ST. LOUIS, MO
ZIP 63141-274
Phone: (314) 251-5940
Fax: (314) 251-5813

The provider's authorized official is John W. Hubert .
The authorized official title is President and has the following contact phone number (314) 251-1700.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 5/5/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0120XSurgeryPediatric SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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