SSM DEPAUL MEDICAL GROUP INC. NPI 1639180631

NPI Information

  • NPI: 1639180631
  • Provider Name: SSM DEPAUL MEDICAL GROUP, INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: DEPAUL MEDICAL GROUP AT ST. CHARLES
  • Address: 1821 SHERMAN DR
    SAINT CHARLES, MO
    ZIP 63303
  • Phone: (636) 949-8026

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NPI Details

SSM DEPAUL MEDICAL GROUP, INC. is a family medicine in Saint Charles, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SSM DEPAUL MEDICAL GROUP, INC. NPI is 1639180631. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Depaul Medical Group At St. Charles.

The provider's business location address is:

1821 SHERMAN DR
SAINT CHARLES, MO
ZIP 63303-984
Phone: (636) 949-8026
Fax: (636) 949-5629

The provider's authorized official is Laura Lynn Pullum .
The authorized official title is Director Of Patient Accounts and has the following contact phone number (314) 209-8121.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 8/22/2020.

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
1207Q00000XFamily MedicineYes

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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