Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mercy Hospital St Louis Professional Surgical Services LLC

Organization Surgery Physician · NPI 1154782340

Mercy Hospital St Louis Professional Surgical Services LLC provides Surgery Physician services 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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