MERCY CLINIC SOUTH PHYSICIANS
NPI 1922482496
Pediatrics in Saint Louis, MO

NPI Status: Active since July 15, 2015

Contact Information

2900 LEMAY FERRY RD
STE 104
SAINT LOUIS, MO
ZIP 63125
Phone: (314) 543-6985

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  • Organization
  • Pediatrics

About MERCY CLINIC SOUTH PHYSICIANS

This page provides the complete NPI Profile along with additional information for Mercy Clinic South Physicians, a pediatrician established in Saint Louis, Missouri operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1922482496 assigned on July 2015. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Mercy Clinic South Physicians operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Mercy Clinic South Physicians. The authorized official of this NPI record is Ms. Cheryl Matejka (Cfo East Communities & Sfo)

NPI
1922482496
Provider Legal Name
ST. ANTHONY'S PHYSICIAN ORGANIZATION
Other Organization Name
MERCY CLINIC SOUTH PHYSICIANS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2900 LEMAY FERRY RD STE 104 SAINT LOUIS, MO 63125
Location Phone
(314) 543-6985
Mailing Address
9735 LANDMARK PARKWAY DR STE 200 SAINT LOUIS, MO 63127
Mailing Phone
(314) 543-6985
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-15-2015
Last Update Date
01-04-2019
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A pediatrician like Mercy Clinic South Physicians is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. CHERYL MATEJKA

Authorized Official Title
CFO EAST COMMUNITIES & SFO
Authorized Official Phone
(314) 251-1958

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922482496
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2942884418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 8 + 8 + 4 + 4 + 1 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1922482496 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366447336DR. LAURA RUTH HULBERT M.D.
Individual
Obstetrics & Gynecology2900 LEMAY FERRY RD SUITE 228
SAINT LOUIS, MO 63125
(314) 487-5227
1912906652 BONNIE SCHWENDER MS, MA
Individual
Psychologist2900 LEMAY FERRY RD SUITE 221
SAINT LOUIS, MO 63125
(314) 892-0667
1578501011DR. KURT MORSE JAEGER M.D.
Individual
Emergency Medical Technician, Basic2900 LEMAY FERRY RD SUITE 100
SAINT LOUIS, MO 63125
(314) 892-3038
1063442564DR. JOSEPH PAUL WOOD MD
Individual
Internal Medicine2900 LEMAY FERRY RD SUITE 208
SAINT LOUIS, MO 63125
(314) 543-5984
1841302114DR. CHAN P VO MD
Individual
Otolaryngology2900 LEMAY FERRY RD SUITE #226
ST LOUIS, MO 63125
(314) 894-9192
1639242738MS. DONNA ANN SCHIMMELPFENNIGWALDO R.N., M.N., F.N.P.
Individual
Nurse Practitioner (Family)2900 LEMAY FERRY RD SUITE 100
SAINT LOUIS, MO 63125
(314) 892-3500
1174643845 KEVIN JAMES LICKENBROCK M.D.
Individual
Family Medicine2900 LEMAY FERRY RD SUITE 100
SAINT LOUIS, MO 63125
(314) 543-5294
1831391622R F MORGAN MD LLC
Organization
Family Medicine2900 LEMAY FERRY RD SUITE 100
SAINT LOUIS, MO 63125
(314) 892-3500
1114172913PLASTIC SURGERY CONCEPTS, PC
Organization
Plastic Surgery2900 LEMAY FERRY RD SUITE 225
SAINT LOUIS, MO 63125
(314) 894-4684
1023340221CHAN P VO, MD
Organization
Hearing Instrument Specialist2900 LEMAY FERRY RD #214
ST LOUIS, MO 63125
(314) 894-9192
1972859171AMS MEDICAL LABORATORY
Organization
Clinical Medical Laboratory2900 LEMAY FERRY RD SUITE 205
SAINT LOUIS, MO 63125
(314) 200-6450
1083081426TRIAD LABS INC
Organization
Clinical Medical Laboratory2900 LEMAY FERRY RD STE 205
SAINT LOUIS, MO 63125
(314) 200-6450
1265892830AMS MEDICAL LABORATORY INC
Organization
Clinical Medical Laboratory2900 LEMAY FERRY RD SUITE 205
SAINT LOUIS, MO 63125
(314) 200-6450
1386645430DR. BABU R DANDAMUDI MD
Individual
Family Medicine2900 LEMAY FERRY RD STE 104
SAINT LOUIS, MO 63125
(314) 525-1887
1760477426DR. RIFFAT Y. IMDAD M.D.
Individual
Internal Medicine (Geriatric Medicine)2900 LEMAY FERRY RD STE 104
SAINT LOUIS, MO 63125
(314) 525-1887
1366413338DR. JOSEPH SANTOS SANTIAGO M.D.
Individual
Family Medicine2900 LEMAY FERRY RD SUITE 217
SAINT LOUIS, MO 63125
(314) 894-8865
1801814645DR. EMIR KERIC MD
Individual
Internal Medicine2900 LEMAY FERRY RD SUITE 100
SAINT LOUIS, MO 63125
(314) 543-5984
1225149685MRS. MELISSA P PENNINGTON PA-C
Individual
Physician Assistant2900 LEMAY FERRY RD
SAINT LOUIS, MO 63125
(314) 543-5294
1427151323DR. PANDURANGA RAO KOYA M.D.
Individual
Internal Medicine2900 LEMAY FERRY RD STE 104
SAINT LOUIS, MO 63125
(314) 525-1887
1265530356MS. TERESA LYNN BREWER APRN, BC
Individual
Nurse Practitioner (Family)2900 LEMAY FERRY RD
SAINT LOUIS, MO 63125
(314) 543-5294

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922482496, enumerated in the NPI registry as an "organization" on July 15, 2015

The provider is located at 2900 Lemay Ferry Rd Ste 104 Saint Louis, Mo 63125 and the phone number is (314) 543-6985

This medical organization specializes in Pediatrics with taxonomy code 208000000X

This NPI record was last updated on July 15, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.