Missouri Baptist Hospital of Sullivan
NPI 1790953909 · Family Medicine Physician · Saint Clair, MO
Missouri Baptist Hospital of Sullivan is a Family Medicine Physician organization in Saint Clair, MO (NPI 1790953909).
Provider details
- NPI number
- 1790953909
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Raymond Davidson, President(314) 286-2025
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Other names (DBA / former)
- Doing business as
- St. Clair Clinic
Registry dates
- Enumerated
- 2008-02-11
- Last updated
- 2008-02-11
Frequently asked questions
- What is Missouri Baptist Hospital of Sullivan's NPI number?
- Missouri Baptist Hospital of Sullivan's National Provider Identifier (NPI) is 1790953909, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Missouri Baptist Hospital of Sullivan?
- Missouri Baptist Hospital of Sullivan is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Missouri Baptist Hospital of Sullivan located?
- Missouri Baptist Hospital of Sullivan's practice location on file with NPPES is 875 N Commercial Ave, Saint Clair, MO 63077-1118.
- What is Missouri Baptist Hospital of Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Missouri Baptist Hospital of Sullivan is (636) 629-7467.
- Who is the authorized official for Missouri Baptist Hospital of Sullivan?
- The authorized official listed on Missouri Baptist Hospital of Sullivan's NPPES record is Raymond Davidson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Missouri Baptist Hospital of Sullivan's NPI active?
- Yes — Missouri Baptist Hospital of Sullivan's NPI (1790953909) is active in the NPPES registry as of the last update on 2008-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.