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

St Anthony's Physician Organization Private Practices Lc

Organization Surgery Physician · NPI 1134316185

St Anthony's Physician Organization Private Practices Lc is a Surgery Physician in Saint Louis, Missouri. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

10004 Kennerly Rd Ste 268B
Saint Louis, MO 63128-2141
Phone: (314) 543-5290
Fax: (314) 543-5263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1134316185
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dave Hinkle — Eecutive Director · (314) 543-5903
Other names St Anthony'S Surgical Group
NPI enumeratedOctober 3, 2007
Last updated in NPPESAugust 4, 2010
Mailing address10004 Kennerly Rd, Ste 268b, Saint Louis, MO 63128-2141

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