SSM ST. MARY'S HEALTH CENTER (NPI# 1013096510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013096510 |
| Entity Type | Organization |
| Organization Name | SSM ST. MARY'S HEALTH CENTER |
| Practice Address |
1035 Bellevue Ave Saint Louis MO 63117-1854 |
| Mailing Address |
6420 Clayton Rd Saint Louis MO 63117-1811 |
| Practice Telephone | 3147688870 |
| Mailing Telephone | 3147688000 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2014-12-02 |
| Authorized Official Name | MS. KATE BECKER (PRESIDENT) |
| Authorized Official Telephone | 3147688052 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM HEALTHCARE ST. LOUIS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
005355 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 602252611 | 05 | |
| NCPDP NUMBER | 2627620 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497937213 | Ssm St. Mary's Health Center | Rehabilitation Unit | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2007-12-04 |
| Street Address |
1035 BELLEVUE AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396738019 | William B Guyol Jr. | Internal Medicine | 1035 Bellevue Ave, Suite 105, Saint Louis, MO 63117-1854 | 2005-08-28 |
| 1891135398 | Jennifer Marie Moore | Internal Medicine | 1035 Bellevue Ave, Suite 400, Saint Louis, MO 63117-1854 | 2013-06-28 |
| 1720348600 | Edward W Heidbrier Md PC | Internal Medicine | 1035 Bellevue Ave, Suite 105, Saint Louis, MO 63117-1854 | 2012-05-24 |
| 1831487719 | Dany Varughese Thekkemuriyil | Internal Medicine | 1035 Bellevue Ave, Suite 500, Saint Louis, MO 63117-1854 | 2011-07-13 |
| 1659670552 | Ann M Armstrong | Nurse Practitioner | 1035 Bellevue Ave, Suite 500, Saint Louis, MO 63117-1854 | 2011-03-18 |
| 1245542042 | J.c. Redington, Md Inc | Internal Medicine | 1035 Bellevue Ave, Ste 105, Saint Louis, MO 63117-1854 | 2010-07-08 |
| 1932430097 | April Lampkin | Nurse Practitioner | 1035 Bellevue Ave, Suite 316, Saint Louis, MO 63117-1854 | 2010-01-28 |
| 1265662050 | Erica Edith Martin | Nurse Practitioner | 1035 Bellevue Ave, Suite 502, Saint Louis, MO 63117-1854 | 2009-07-15 |
| 1497983787 | John P Durbin | Internal Medicine | 1035 Bellevue Ave, 400, Saint Louis, MO 63117-1854 | 2009-06-25 |
| 1053547539 | Rishi Kranth Vasireddy | Family Medicine | 1035 Bellevue Ave, Suite 305, Saint Louis, MO 63117-1854 | 2009-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893071 | Key Healthmeds LLC | Pharmacy | 522 N New Ballas Rd Ste 206, Saint Louis, MO 63141-6819 | 2018-12-18 |
| 1366926552 | Amc Pharmacy | Pharmacy | 2653 Locust St, Saint Louis, MO 63103-1411 | 2018-09-24 |
| 1730606401 | Mercy Pharmacy Services, LLC | Pharmacy | 12680 Olive Blvd Ste 150, Saint Louis, MO 63141-6364 | 2017-08-24 |
| 1487171153 | Mercy Pharmacy Services, LLC | Pharmacy | 12348 Old Tesson Rd Ste 100, Saint Louis, MO 63128-2251 | 2017-08-24 |
| 1902323678 | Mercy Pharmacy Services, LLC | Pharmacy | 621 S New Ballas Rd Ste 20a, Saint Louis, MO 63141-8251 | 2017-08-24 |
| 1154722841 | Missouri Baptist Medical Center | Pharmacy | 3844 S Lindbergh Blvd Ste 150, Saint Louis, MO 63127-1368 | 2014-09-12 |
| 1720332752 | Readymed Pharmacy Inc. | Pharmacy | 13218 Tesson Ferry Rd, Saint Louis, MO 63128-3840 | 2012-10-29 |
| 1336498484 | Sai Health Pharmacy LLC | Pharmacy | 135 W Washington St, Saint Louis, MI 48880-1534 | 2012-09-05 |
| 1700929866 | Rehoboth Pharmacy LLC | Pharmacy | 9944 W Florissant Ave, Saint Louis, MO 63136-1432 | 2007-02-15 |
| 1023173986 | Long Term Care Rx, Inc. | Pharmacy | 1a Document Dr, Saint Louis, MO 63114 | 2006-12-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.