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

Mercy Hospital St Louis Professional Surgical Services LLC

Organization Surgery Physician · NPI 1154782340

Mercy Hospital St Louis Professional Surgical Services LLC is a Surgery Physician in Saint Louis, Missouri. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
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

625 S New Ballas Rd
Saint Louis, MO 63141-8253
Phone: (314) 364-4347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1154782340
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Dunger — Executive Director - Finance · (314) 364-3707
NPI enumeratedMarch 15, 2016
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address625 S New Ballas Rd, Saint Louis, MO 63141-8253

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