OrganizationActive
Mercy Clinic Children'S Surgery, LLC
NPI 1649349804 · Pediatric Surgery Physician · St. Louis, MO
Provider details
- NPI number
- 1649349804
- Entity type
- Organization
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Mercy Clinic East Communities
- Organization subpart
- Yes
- Authorized official
- Kerry Dunger, Executive Director - Finance(314) 364-3707
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
621 S. New Ballas Road
Suite 6018-B
St. Louis, MO 63141-8274
Phone: (314) 251-5940
Fax: (314) 251-5813
Street-level locationGet directions
Mailing address
621 S. New Ballas Road
St. Louis, MO 63141-8274
Other names (DBA / former)
- Former legal business name
- Mercy Children'S Surgery Associates
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2025-04-25
- Certified
- 2025-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.