MERCY HOSPITAL ST. LOUIS PROFESSIONAL SURGICAL SERVICES LLC
NPI 1154782340
Physician Assistant - Surgical in Saint Louis, MO

NPI Status: Active since March 15, 2016

Contact Information

625 S NEW BALLAS RD
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 364-4347

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  • Organization
  • Physician Assistant
  • Surgical
  • Accepts Insurance

About MERCY HOSPITAL ST. LOUIS PROFESSIONAL SURGICAL SERVICES LLC

This page provides the complete NPI Profile along with additional information for Mercy Hospital St. Louis Professional Surgical Services Llc, a provider established in Saint Louis, Missouri operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1154782340 assigned on March 2016. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an organization and their NPI record was last updated one year ago. Mercy Hospital St. Louis Professional Surgical Services Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kerry Dunger (Executive Director - Finance)

NPI
1154782340
Provider Name
MERCY HOSPITAL ST. LOUIS PROFESSIONAL SURGICAL SERVICES LLC
Entity Type
Organization
Location Address
625 S NEW BALLAS RD SAINT LOUIS, MO 63141
Location Phone
(314) 364-4347
Mailing Address
625 S NEW BALLAS RD SAINT LOUIS, MO 63141
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2016
Last Update Date
04-28-2025
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers

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)
1208600000XAllopathic & Osteopathic Physicians

Surgery

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Catastrophic Pathway (+ Incentives) - EPO
  • Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Balance by Medica Bronze $0 Copay PCP Visits - EPO
  • Balance by Medica Bronze $0 Copay PCP Visits - PPO
  • Balance by Medica Bronze Premier - EPO
  • Balance by Medica Bronze Premier - PPO
  • Balance by Medica Expanded Bronze Standard - EPO
  • Balance by Medica Expanded Bronze Standard - PPO
  • Balance by Medica Gold $0 Copay PCP Visits - EPO
  • Balance by Medica Gold $0 Copay PCP Visits - PPO
  • Balance by Medica Gold Share - EPO
  • Balance by Medica Gold Share - PPO
  • Balance by Medica Gold Standard - EPO
  • Balance by Medica Gold Standard - PPO
  • Balance by Medica Silver $0 Copay PCP Visits - EPO
  • Balance by Medica Silver $0 Copay PCP Visits - PPO
  • Balance by Medica Silver Share - EPO
  • Balance by Medica Silver Share - PPO
  • Balance by Medica Silver Standard - EPO
  • Balance by Medica Silver Standard - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

KERRY DUNGER

Authorized Official Title
EXECUTIVE DIRECTOR - FINANCE
Authorized Official Phone
(314) 364-3707

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154782340, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 4 + 8 + 4 + 3 + 8 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1154782340.

Other Providers at the Same Location


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

Internal Medicine (Cardiovascular Disease)
625 S NEW BALLAS RD, STE 2030
SAINT LOUIS, MO 63141
Internal Medicine (Cardiovascular Disease)
625 S NEW BALLAS RD, SUITE 2030
SAINT LOUIS, MO 63141
Internal Medicine (Cardiovascular Disease)
625 S NEW BALLAS RD, SUITE 2015
SAINT LOUIS, MO 63141
Internal Medicine (Cardiovascular Disease)
625 S NEW BALLAS RD, SUITE 2015
SAINT LOUIS, MO 63141
Thoracic Surgery (Cardiothoracic Vascular Surgery)
625 S NEW BALLAS RD, SUITE R-7040
SAINT LOUIS, MO 63141
Thoracic Surgery (Cardiothoracic Vascular Surgery)
625 S NEW BALLAS RD, SUITE R-7040
SAINT LOUIS, MO 63141
Physician Assistant (Surgical)
625 S NEW BALLAS RD, SUITE R-7040
SAINT LOUIS, MO 63141
Physician Assistant (Surgical)
625 S NEW BALLAS RD, SUITE R-7040
SAINT LOUIS, MO 63141
Emergency Medicine
625 S NEW BALLAS RD, ST. JOHN'S HEART HOSPITAL, B LEVEL, EMERGENCY OFFICES
CREVE COEUR, MO 63141
Nurse Practitioner (Adult Health)
625 S NEW BALLAS RD, SUITE 2010
SAINT LOUIS, MO 63141
Emergency Medicine
625 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Nurse Practitioner
625 S NEW BALLAS RD, SUITE 20130
SAINT LOUIS, MO 63141
Nurse Practitioner (Family)
625 S NEW BALLAS RD, SUITE 2030
SAINT LOUIS, MO 63141
Internal Medicine (Cardiovascular Disease)
625 S NEW BALLAS RD, STE 2030
SAINT LOUIS, MO 63141
Internal Medicine (Cardiovascular Disease)
625 S NEW BALLAS RD, SUITE 2030
SAINT LOUIS, MO 63141
Internal Medicine (Cardiovascular Disease)
625 S NEW BALLAS RD, SUITE 2015
SAINT LOUIS, MO 63141
Internal Medicine (Cardiovascular Disease)
625 S NEW BALLAS RD, SUITE #2015
SAINT LOUIS, MO 63141
Internal Medicine (Cardiovascular Disease)
625 S NEW BALLAS RD, SUITE 2015
SAINT LOUIS, MO 63141
Internal Medicine (Clinical Cardiac Electrophysiology)
625 S NEW BALLAS RD, SUITE 2030
SAINT LOUIS, MO 63141
Internal Medicine (Interventional Cardiology)
625 S NEW BALLAS RD, SUITE 2015
SAINT LOUIS, MO 63141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154782340, enumerated as an "organization" on March 15, 2016.

The provider is located at 625 S NEW BALLAS RD SAINT LOUIS, MO 63141 and the phone number is (314) 364-4347.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Medica. Please consult your insurance carrier or call the provider to verify.