SSM HEALTH CARE ST. LOUIS NPI 1376598599

NPI Information

NPI: 1376598599
Provider Name: SSM HEALTH CARE ST. LOUIS

Doing Business As: SSM HEALTH DEPAUL HOSPITAL

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
12303 DE PAUL DR
BRIDGETON, MO
ZIP 63044
Phone: (314) 344-6000
Get Directions

SSM HEALTH CARE ST. LOUIS is a cardiovascular disease internal medicine in Bridgeton, MO. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SSM HEALTH CARE ST. LOUIS NPI is 1376598599. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ssm Health Depaul Hospital.

The provider's business location address is:

12303 DE PAUL DR
BRIDGETON, MO
ZIP 63044-512
Phone: (314) 344-6000
Fax: (314) 344-6840

The provider's authorized official is Steven Johnson .
The authorized official title is President and has the following contact phone number (314) 989-2072.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 2/14/2019.

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	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease	No
2	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	No
3	2084N0400X	Psychiatry & Neurology	Neurology	No
4	2086S0127X	Surgery	Trauma Surgery	No
5	207RC0000X	Internal Medicine	Cardiovascular Disease	Yes

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
1	540494101	MEDICAID	MISSOURI

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: 4/28/2024

NPI Synchronization or Removal

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