| Mercy Clinic Endocrinology, Llc | |
|
621 S New Ballas Rd Suite 460-a Saint Louis MO 63141-8232 | |
| (314) 251-4330 | |
| (314) 251-4333 |
| Full Name | Mercy Clinic Endocrinology, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 621 S New Ballas Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Jeffrey Ciaramita (PRESIDENT) |
| Authorized Official Contact | 3142511952 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic Endocrinology, Llc 621 S New Ballas Rd Suite 460-a Saint Louis MO 63141-8232 Ph: (314) 251-4330 | Mercy Clinic Endocrinology, Llc 621 S New Ballas Rd Suite 460-a Saint Louis MO 63141-8232 Ph: (314) 251-4330 |
| NPI Number | 1922328442 |
|---|---|
| Provider Enumeration Date | 06/07/2010 |
| Last Update Date | 10/14/2020 |
| Medicare PECOS PAC ID | 7416073531 |
|---|---|
| Medicare Enrollment ID | O20100927000748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922328442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Veronica P Mcgregor |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154395614 PECOS PAC ID: 6709818206 Enrollment ID: I20050906000794 |
| Provider Name | Neelavathi Senkottaiyan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740312842 PECOS PAC ID: 6901966506 Enrollment ID: I20081126000329 |
| Provider Name | Irini E Veronikis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578508701 PECOS PAC ID: 4789716986 Enrollment ID: I20100723000671 |
| Provider Name | Natalya Rukhman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063616506 PECOS PAC ID: 0244407575 Enrollment ID: I20120126000823 |
| Provider Name | Philip Gerard Clerc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588002398 PECOS PAC ID: 2961633946 Enrollment ID: I20220824000479 |
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