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MERCY CLINIC EAST COMMUNITIES NPI 1700370061


NPI Information

NPI: 1700370061
Provider Name: MERCY CLINIC EAST COMMUNITIES
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 26D0895086

Address:
15945 CLAYTON RD STE 310
BALLWIN, MO
ZIP 63011
Phone: (636) 893-1356
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MERCY CLINIC EAST COMMUNITIES is an endocrinology and diabetes and metabolism internal medicine in Ballwin, MO. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. MERCY CLINIC EAST COMMUNITIES NPI is 1700370061. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

15945 CLAYTON RD STE 310
BALLWIN, MO
ZIP 63011-493
Phone: (636) 893-1356
Fax: (636) 893-1358

The provider's authorized official is Leslie S. Ferguson .
The authorized official title is Mercy Revenue Management and has the following contact phone number (314) 364-4347.

The CLIA number assigned to this NPI record is 26D0895086 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2018 and was last updated on 6/20/2018.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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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