MERCY CLINIC SOUTH PHYSICIANS
NPI 1336469261
Family Medicine in Saint Louis, MO

NPI Status: Active since June 02, 2010

Contact Information

5425 SOUTHFIELD CTR
SAINT LOUIS, MO
ZIP 63123
Phone: (314) 543-5258
Fax: (314) 543-5262

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  • Organization
  • Family Medicine
  • Accepts Insurance

About MERCY CLINIC SOUTH PHYSICIANS

This page provides the complete NPI Profile along with additional information for Mercy Clinic South Physicians, a primary care provider established in Saint Louis, Missouri operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1336469261 assigned on June 2010. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area 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
1336469261
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
5425 SOUTHFIELD CTR SAINT LOUIS, MO 63123
Location Phone
(314) 543-5258
Location Fax
(314) 543-5262
Mailing Address
5425 SOUTHFIELD CTR SAINT LOUIS, MO 63123
Mailing Phone
(314) 543-5258
Mailing Fax
(314) 543-5262
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-02-2010
Last Update Date
01-04-2019
Code Navigator

A primary care provider (PCP) like Mercy Clinic South Physicians sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MS. CHERYL MATEJKA

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000015649OTHER (01)MOMEDICARE PTAN

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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 1336469261, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
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 3 → 6 4 → 8 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 6 + 6 + 8 + 6 + 1 + 8 + 2 + 1 + 2 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1336469261.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Behavior Technician
5425 SOUTHFIELD CTR
SAINT LOUIS, MO 63123
Behavior Technician
5425 SOUTHFIELD CTR
SAINT LOUIS, MO 63123
Behavior Technician
5425 SOUTHFIELD CTR
SAINT LOUIS, MO 63123
Behavior Technician
5425 SOUTHFIELD CTR
SAINT LOUIS, MO 63123
Behavior Technician
5425 SOUTHFIELD CTR
SAINT LOUIS, MO 63123
Behavior Technician
5425 SOUTHFIELD CTR
SAINT LOUIS, MO 63123

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336469261, enumerated as an "organization" on June 02, 2010.

The provider is located at 5425 SOUTHFIELD CTR SAINT LOUIS, MO 63123 and the phone number is (314) 543-5258.

Family Medicine with taxonomy code 207Q00000X.

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