SSM MEDICAL GROUP NPI 1851312714

NPI Information

NPI: 1851312714
Provider Name: SSM MEDICAL GROUP
Classification: Clinic/Center - 261QM1300X
Specialization: Multi-Specialty
Entity Type: Organization
Doing Business As: ST. LOUIS MEDICAL ASSOCIATES
CLIA Number: 26D2004349
Address: 3555 SUNSET OFFICE DR
SUITE C-100
SAINT LOUIS, MO
ZIP 63127
Phone: (314) 238-9100

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NPI Details

SSM MEDICAL GROUP is a multi-specialty clinic center in Saint Louis, MO. SSM MEDICAL GROUP NPI is 1851312714. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Louis Medical Associates.

The provider's business location address is:

3555 SUNSET OFFICE DR
SUITE C-100
SAINT LOUIS, MO
ZIP 63127-015
Phone: (314) 238-9100
Fax: (314) 238-9110

The provider's authorized official is Ronald D Pierson .
The authorized official title is Executive Director and has the following contact phone number (314) 238-9100.

The CLIA number assigned to this NPI record is 26D2004349 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 4/29/2008.

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
1	261QM1300X	Clinic/Center	Multi-Specialty			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	000012222	MEDICARE PIN	MISSOURI
2	501906101	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: 11/21/2025

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