OrganizationActive
Mercy Hospital St. Louis Professional Surgical Services LLC
NPI 1154782340 · Surgical Physician Assistant · Saint Louis, MO
Provider details
- NPI number
- 1154782340
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kerry Dunger, Executive Director - Finance(314) 364-3707
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
625 S New Ballas Rd
Saint Louis, MO 63141-8253
Phone: (314) 364-4347
Street-level locationGet directions
Mailing address
625 S New Ballas Rd
Saint Louis, MO 63141-8253
Registry dates
- Enumerated
- 2016-03-15
- Last updated
- 2025-04-28
- Certified
- 2025-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.