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SSM MEDICAL GROUP NPI 1851312714


NPI Information

NPI: 1851312714
Provider Name: SSM MEDICAL GROUP

Doing Business As: ST. LOUIS MEDICAL ASSOCIATES

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3555 SUNSET OFFICE DR
SUITE C-100
SAINT LOUIS, MO
ZIP 63127
Phone: (314) 238-9100
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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 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000012222MEDICARE PINMISSOURI
2501906101MEDICAIDMISSOURI

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

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