SSM MEDICAL GROUP INC. NPI 1063960409

NPI Information

  • NPI: 1063960409
  • Provider Name: SSM MEDICAL GROUP INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: SSM HEALTH MEDICAL GROUP
  • CLIA Number: 26D2288938
  • Address: 816 S KIRKWOOD RD
    SUITE 105
    SAINT LOUIS, MO
    ZIP 63122
  • Phone: (314) 686-4990

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NPI Details

SSM MEDICAL GROUP INC. is a durable medical equipment medical supplies in Saint Louis, MO. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SSM MEDICAL GROUP INC. NPI is 1063960409. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ssm Health Medical Group.

The provider's business location address is:

816 S KIRKWOOD RD
SUITE 105
SAINT LOUIS, MO
ZIP 63122-056
Phone: (314) 686-4990

The provider's authorized official is Barbara Pulliam .
The authorized official title is Executive Director and has the following contact phone number (636) 669-2455.

The CLIA number assigned to this NPI record is 26D2288938 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2016 and was last updated on 9/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryMISSOURINo
2332B00000XDurable Medical Equipment & Medical SuppliesMISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1990001373MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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