Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mercy ACO Provider Services LLC

Organization Dermatology Physician · NPI 1053759704

Mercy ACO Provider Services LLC is a Dermatology Physician in Saint Louis, Missouri. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (314) 251-1376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X
Dermatology Physician Taxonomy 207N00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X
Infectious Disease Physician Taxonomy 207RI0200X

Record details

NPI number1053759704
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMercy Health
Authorized official Shannon Sock — President Mercy Aco · (314) 251-6000
NPI enumeratedJune 4, 2013
Last updated in NPPESJanuary 8, 2014
Mailing address625 S New Ballas Rd, Suite 7020, Saint Louis, MO 63141-8253

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