Mercy Clinic Springfield Communities in Saint Louis - Physician Assistant
Mercy Clinic Springfield Communities - NPI 1215066956
Mercy Clinic Springfield Communities is a Physician Assistant in Saint Louis, Missouri. Mercy Clinic Springfield Communities practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mercy Clinic Springfield Communities is 1215066956. The last update date is 2018-12-04.
Mercy Clinic Springfield Communities's current location address is 645 Maryville Centre Dr Fl 3, Saint Louis, Missouri. You can contact this provider via phone number 4178207133 and fax number 4178200586. The mailing address for Mercy Clinic Springfield Communities is 645 Maryville Centre Dr Fl 3, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mercy Clinic Springfield Communities |
|---|---|
| Address | 645 Maryville Centre Dr Fl 3, Saint Louis, Missouri |
| Phone Number | 4178207133 |
| Fax Number | 4178200586 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF PHYS |
|---|---|
| Authorized Official Name | Cavagnol Robert |
| Telephone Number | 4178202705 |
NPI Number Detail
| NPI Number | 1215066956 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2018-12-04 |
Provider Mailing Address Detail
| Address | 645 Maryville Centre Dr Fl 3 |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631415855 |
| Phone Number | 4178207133 |
| Fax Number | 4178200586 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2002018364 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 595979907 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mercy Clinic Springfield Communities by the Centers for Medicare & Medicaid Services (CMS)?
The Mercy Clinic Springfield Communities has been assigned the NPI (National Provider Identifier) 1215066956. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Mercy Clinic Springfield Communities?
The Mercy Clinic Springfield Communities is situated at 645 Maryville Centre Dr Fl 3, in the city of Saint Louis, state of MO, with the zip code 631415855.
What is Mercy Clinic Springfield Communities's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mercy Clinic Springfield Communities is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did Mercy Clinic Springfield Communities receive its 1215066956 assignment from the Centers for Medicare & Medicaid Services?
The Mercy Clinic Springfield Communities was assigned its 1215066956 on 2007-03-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Mercy Clinic Springfield Communities's information last updated?
The Mercy Clinic Springfield Communities's information was last updated on 2018-12-04.
NPI Number: 1982607784
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