Mercy Clinic Gastroenterology, Llc | |
621 S New Ballas Rd Suite 437-a Saint Louis MO 63141-8232 | |
(314) 251-3880 | |
(314) 251-3885 |
Full Name | Mercy Clinic Gastroenterology, Llc |
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Speciality | Internal Medicine |
Location | 621 S New Ballas Rd, Saint Louis, Missouri |
Authorized Official Name and Position | John W. Hubert (PRESIDENT) |
Authorized Official Contact | 3142511700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mercy Clinic Gastroenterology, Llc 621 S New Ballas Rd Suite 437-a Saint Louis MO 63141-8232 Ph: (314) 251-3880 | Mercy Clinic Gastroenterology, Llc 621 S New Ballas Rd Suite 437-a Saint Louis MO 63141-8232 Ph: (314) 251-3880 |
NPI Number | 1528295334 |
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Provider Enumeration Date | 06/18/2009 |
Last Update Date | 05/08/2014 |
Medicare PECOS PAC ID | 8628121795 |
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Medicare Enrollment ID | O20090806000762 |
Identifier | Type | State | Issuer |
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1528295334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Samer Al-kaade |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1982648259 PECOS PAC ID: 0941299044 Enrollment ID: I20040512000157 |
Provider Name | Paul D King |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1609872704 PECOS PAC ID: 1658336755 Enrollment ID: I20041201000095 |
Provider Name | Michael J Cleary |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1124098546 PECOS PAC ID: 0749230456 Enrollment ID: I20050129000222 |
Provider Name | Michael J Zerega |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1073505178 PECOS PAC ID: 0042231250 Enrollment ID: I20051215000647 |
Provider Name | Rajesh S Shah |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1912066382 PECOS PAC ID: 4284736570 Enrollment ID: I20070216000093 |
Provider Name | Jhony Y Doumit |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1689844888 PECOS PAC ID: 8729154794 Enrollment ID: I20080828000189 |
Provider Name | Matthew A Pieper |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1598920647 PECOS PAC ID: 8527127547 Enrollment ID: I20081106000028 |
Provider Name | Jennifer L Palagiri |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1063615284 PECOS PAC ID: 1759431141 Enrollment ID: I20090605000089 |
Provider Name | Marc J Bernstein |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1336110543 PECOS PAC ID: 8921049826 Enrollment ID: I20090629000066 |
Provider Name | Kiranmaye Tiriveedhi |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1609916824 PECOS PAC ID: 3577660745 Enrollment ID: I20090806000782 |
Provider Name | Roshani J Desai |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1457554834 PECOS PAC ID: 1052457520 Enrollment ID: I20091014000357 |
Provider Name | Edwardo D Verzola |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1245381201 PECOS PAC ID: 0446256580 Enrollment ID: I20100125000392 |
Provider Name | Paul E Buse |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1114993664 PECOS PAC ID: 2860393808 Enrollment ID: I20100215000051 |
Provider Name | Riad Azar |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1952358970 PECOS PAC ID: 2163567728 Enrollment ID: I20100306000381 |
Provider Name | Carl F Blatt |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1447292123 PECOS PAC ID: 2668366337 Enrollment ID: I20100514000634 |
Provider Name | David H Cort |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1023083938 PECOS PAC ID: 7315848355 Enrollment ID: I20100817000192 |
Provider Name | Nicole R Guerrero |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558490383 PECOS PAC ID: 2062604804 Enrollment ID: I20101012000269 |
Provider Name | Muddasani B Reddy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013930585 PECOS PAC ID: 5395732036 Enrollment ID: I20101027001048 |
Provider Name | David Ulrich |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811124886 PECOS PAC ID: 0648323444 Enrollment ID: I20110526000717 |
Provider Name | Yazan A Abdalla |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1033365358 PECOS PAC ID: 4789854068 Enrollment ID: I20110823001022 |
Provider Name | Youssef Assioun |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1639370919 PECOS PAC ID: 2860654423 Enrollment ID: I20120427000439 |
Provider Name | Umair Sohail |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1376879940 PECOS PAC ID: 0143468066 Enrollment ID: I20140528000645 |
Provider Name | Katie S Schroeder |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1487818001 PECOS PAC ID: 1557581550 Enrollment ID: I20140925000398 |
Provider Name | Cheryl M Bayens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679967673 PECOS PAC ID: 8921327008 Enrollment ID: I20150512002457 |
Provider Name | Sheetal Sharma |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1538328885 PECOS PAC ID: 9436322203 Enrollment ID: I20150515000177 |
Provider Name | Elizabeth V Marsicano |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1043482375 PECOS PAC ID: 4981879301 Enrollment ID: I20150717000478 |
Provider Name | John R Douglas Peterson |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1164639274 PECOS PAC ID: 6406037571 Enrollment ID: I20160614002154 |
Provider Name | Nicholas William Frederickson |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1154640225 PECOS PAC ID: 2264734680 Enrollment ID: I20160707001341 |
Provider Name | Mohammed Eyad Alsabbagh |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1083917090 PECOS PAC ID: 9739312570 Enrollment ID: I20170425002034 |
Provider Name | Michael Ansstas |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851658728 PECOS PAC ID: 5092084277 Enrollment ID: I20170630001859 |
Provider Name | Parul J Gor |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1750676664 PECOS PAC ID: 8022246024 Enrollment ID: I20170809003558 |
Provider Name | Laura Ulmer |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1548600083 PECOS PAC ID: 0042453243 Enrollment ID: I20190827003601 |
Provider Name | William Joseph Goldkamp |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1831458652 PECOS PAC ID: 7113165846 Enrollment ID: I20190910001927 |
Provider Name | Priyanka Tiwari |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1295837441 PECOS PAC ID: 2769633668 Enrollment ID: I20200124000072 |
Provider Name | Monica Renee Hallquist |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962051086 PECOS PAC ID: 1456777903 Enrollment ID: I20200814001838 |
Provider Name | Carol Bivins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154935880 PECOS PAC ID: 2264851302 Enrollment ID: I20200923001841 |
Provider Name | Faiza Bhatti |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1144556499 PECOS PAC ID: 4789816562 Enrollment ID: I20201012000411 |
Provider Name | Ted B Walker |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1467833301 PECOS PAC ID: 3476867359 Enrollment ID: I20210806000561 |
Provider Name | Andrea Anita Strothcamp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710552757 PECOS PAC ID: 9436542347 Enrollment ID: I20220216001735 |
Provider Name | Kimberly Grana |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538539614 PECOS PAC ID: 7012218670 Enrollment ID: I20220415000370 |
Provider Name | Stephanie Dawn Vogel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720736119 PECOS PAC ID: 1254718471 Enrollment ID: I20220509002504 |
Provider Name | Sheena Eslinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942675673 PECOS PAC ID: 7618272030 Enrollment ID: I20220527001019 |
Provider Name | Jean Loemker |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568768901 PECOS PAC ID: 6709264054 Enrollment ID: I20220527002060 |
Provider Name | Christina Michelle Engert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861142473 PECOS PAC ID: 8022497288 Enrollment ID: I20220617000641 |
Provider Name | Zubair Khan |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1396128682 PECOS PAC ID: 4981909637 Enrollment ID: I20220803000299 |
Provider Name | Catherine F Howe |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1033573845 PECOS PAC ID: 9638554900 Enrollment ID: I20220922002314 |
Provider Name | Emily C Reznicek |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1306378039 PECOS PAC ID: 2961771910 Enrollment ID: I20230615002362 |
Provider Name | Michael Clanahan |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1457707515 PECOS PAC ID: 7012305675 Enrollment ID: I20230824002255 |
Provider Name | Gila Hoffman |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1700316718 PECOS PAC ID: 3072885045 Enrollment ID: I20230824002424 |
Provider Name | Samuel Joseph Burton |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295181428 PECOS PAC ID: 3274821293 Enrollment ID: I20231019003051 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
Town And Country Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 | |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Victus Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 | |
Salvation Army Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Washington Ave, Saint Louis, MO 63103 Phone: 314-898-1700 Fax: 314-814-8542 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Tesson Ct, Saint Louis, MO 63123 Phone: 800-268-7713 Fax: 415-704-3294 |