| Mercy East Support Services, LLC | |
|
615 S New Ballas Rd Admin Building 5th Floor Saint Louis MO 63141-8221 | |
| (314) 251-6000 | |
| Not Available |
| Full Name | Mercy East Support Services, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 615 S New Ballas Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Jonathan Tyler Sturgeon (CFO) |
| Authorized Official Contact | 3142511917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy East Support Services, LLC 615 S New Ballas Rd Admin Building 5th Floor Saint Louis MO 63141-8221 Ph: (314) 251-6000 | Mercy East Support Services, LLC 615 S New Ballas Rd Admin Building 5th Floor Saint Louis MO 63141-8221 Ph: (314) 251-6000 |
| NPI Number | 1225382013 |
|---|---|
| Provider Enumeration Date | 11/01/2012 |
| Last Update Date | 02/10/2026 |
| Certification Date | 02/10/2026 |
| Medicare PECOS PAC ID | 0446498729 |
|---|---|
| Medicare Enrollment ID | O20130528000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225382013 | NPI | - | NPPES |
| Provider Name | Laishang Peter Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235143942 PECOS PAC ID: 7719974682 Enrollment ID: I20040430000804 |
| Provider Name | Mohammad Asif Qaisrani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245250968 PECOS PAC ID: 6103877923 Enrollment ID: I20050209000122 |
| Provider Name | Carolyn M Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669465134 PECOS PAC ID: 8325080880 Enrollment ID: I20050525000030 |
| Provider Name | Malik I Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770557985 PECOS PAC ID: 5294752648 Enrollment ID: I20051026000073 |
| Provider Name | Sue a Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164459772 PECOS PAC ID: 5294749990 Enrollment ID: I20060202000117 |
| Provider Name | Sofia Grewal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265441299 PECOS PAC ID: 2860490760 Enrollment ID: I20061130000359 |
| Provider Name | Heide a Rodgers |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164577300 PECOS PAC ID: 6305948399 Enrollment ID: I20070222000002 |
| Provider Name | Sarah M Guidorzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861602922 PECOS PAC ID: 3274672001 Enrollment ID: I20091208000049 |
| Provider Name | Laurence J Kinsella |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770591646 PECOS PAC ID: 6608906995 Enrollment ID: I20100614000096 |
| Provider Name | Eduardo Luis Garcia-ferrer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619917101 PECOS PAC ID: 8820128077 Enrollment ID: I20100614000814 |
| Provider Name | Cynthia Renee Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881908986 PECOS PAC ID: 9234254830 Enrollment ID: I20100920001018 |
| Provider Name | John F Mantovani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528163904 PECOS PAC ID: 5799932588 Enrollment ID: I20120830000145 |
| Provider Name | Gina M Bufe |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1326381765 PECOS PAC ID: 7517108384 Enrollment ID: I20130722000346 |
| Provider Name | Pooja Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578728218 PECOS PAC ID: 3870736242 Enrollment ID: I20130904000466 |
| Provider Name | Matthew Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770913089 PECOS PAC ID: 4486884129 Enrollment ID: I20140225002284 |
| Provider Name | Enquan Gao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295051548 PECOS PAC ID: 0446475198 Enrollment ID: I20140714000586 |
| Provider Name | Bethany Sleckman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1861814386 PECOS PAC ID: 1153541438 Enrollment ID: I20141009000054 |
| Provider Name | Rohit R Pawar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013237122 PECOS PAC ID: 8022321587 Enrollment ID: I20150714000133 |
| Provider Name | Pravesh Prabhu Deotale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710275110 PECOS PAC ID: 2163660283 Enrollment ID: I20160708000233 |
| Provider Name | Michael Farell Massa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598825382 PECOS PAC ID: 6901899277 Enrollment ID: I20180411002139 |
| Provider Name | Mara Kathleen Hinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922543958 PECOS PAC ID: 5294017463 Enrollment ID: I20180725003522 |
| Provider Name | Rada Helen Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508397910 PECOS PAC ID: 7517292311 Enrollment ID: I20190716003738 |
| Provider Name | Melody Kay Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336604370 PECOS PAC ID: 3375871510 Enrollment ID: I20190826001874 |
| Provider Name | Shelah Beth Radke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366695967 PECOS PAC ID: 8426386319 Enrollment ID: I20190830001285 |
| Provider Name | Kathryn Shemwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700263506 PECOS PAC ID: 0749582542 Enrollment ID: I20191007000249 |
| Provider Name | Bamidele Ganiyu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073155933 PECOS PAC ID: 1153759394 Enrollment ID: I20200320002762 |
| Provider Name | Anne Fleming |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689900177 PECOS PAC ID: 2567702988 Enrollment ID: I20241126003325 |
| Provider Name | Julie Lynn Mcdowell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023277613 PECOS PAC ID: 2062948706 Enrollment ID: I20241205000898 |
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