NPI: 1043609324

ST. ANTHONY'S PHYSICIAN ORGANIZATION

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• Entity Type: Organization
• Last Observed in the System¹ on:
• First Entered in the System¹ on: 2015-01-09
• Medicare Revalidation Due Date²: Not Available
• Certified the records on: Not Certified
• NPPES Profile Page: https://npiregistry.cms.hhs.gov/provider-view/1043609324
• CMS Profile Page: https://data.cms.gov/tools/medicare-physician-other-practitioner-look-up-tool/provider/1043609324

Other IDs

• 2018-01-07 ~ Present, OTHER (MEDICARE GROUP PTAN) in MO, 000015644

Other Names

• 2019-01-13 ~ Present , Doing Business As, Mercy Clinic South Physicians
• 2018-07-08 ~ 2018-12-09 , Doing Business As, St Anthony's at Laclede Groves Senior Services

Addresses

• Primary & Current, 723 S LACLEDE STATION RD, SAINT LOUIS, MO 631194911

Taxonomies

• 2018-01-07 ~ Present ³ , Family Medicine Physician (207Q00000X), Primary

Orgs. with the Same Mailing Address (10)

The list below shows the Organization Entities (Entity Type Code: 2) with the same mailing addresses. They may be other branch offices or co-located businesses.

• ST. ANTHONY'S PHYSICIAN ORGANIZATION (1588026421)
• ST. ANTHONY'S PHYSICIAN ORGANIZATION (1225425630)
• ST. ANTHONY'S PHYSICIAN ORGANIZATION (1922482496)
• ST. ANTHONY'S PHYSICIAN ORGANIZATION (1124439708)
• ST. ANTHONY'S PHYSICIAN ORGANIZATION (1962810952)
• ST. ANTHONY'S PHYSICIAN ORGANIZATION (1073979027)
• ST. ANTHONY'S PHYSICIAN ORGANIZATION (1356708713)
• ST ANTHONYS PHYSICIAN ORGANIZATION OF ILLINOIS (1407218365)
• ST ANTHONYS PHYSICIAN ORGANIZATION HOSPITALIST SERVICES, L.C. (1407216336)
• PREFERRED RESOURCE NETWORK (1932215134)

Orgs. with the Same Practice Address (5)

The list below shows the Organization Entities (Entity Type Code: 2) with the same practice addresses. They may be co-located businesses.

• LUTHERAN SENIOR SERVICES (1144314386)
• LUTHERAN SENIOR SERVICES (1114148251)
• LACLEDE GROVES (1457924755)
• GENERATION CLINICAL PARTNERS ACO, LLC (1740969120)
• ALLIANCE REHAB STL (1023496494)

Notes

1. https://nppes.cms.hhs.gov/#/
2. https://data.cms.gov/tools/medicare-revalidation-list
3. Our records go back to 2018-01-07, and any records preceding this date are not captured. Please regard 2018-01-07 as the earliest date we could verify the records back then, not as the actual date for the time range.
4. https://openpaymentsdata.cms.gov/
5. The information is based on the UnitedHealthcare Transparency in Coverage site.