SSM MEDICAL GROUP


Address: 4116 Von Talge Rd, Saint Louis, MO 63128-1957
Phone: 3148153331

SSM MEDICAL GROUP (NPI# 1023297637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023297637
Entity Type Organization
Organization Name SSM MEDICAL GROUP
Other Organization Name PREFERRED PEDIATRICS
Practice Address 4116 Von Talge Rd
Saint Louis
MO 63128-1957
Practice Telephone 3148153331
Practice Fax Number 3148153703
Mailing Telephone 3148153331
Mailing Fax Number 3148153703
Enumeration Date 2007-10-31
Last Update Date 2007-10-31
Authorized Official Name LESA SCHNARR (DIRECTOR)
Authorized Official Telephone 3149515330
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Preferred Pediatrics Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1275781288 Ssm Medical Group Family Medicine 1011 Bowles Ave, Suite 300, Fenton, MO 63026-2387 2008-09-03
1538342621 Ssm Medical Group Clinic/Center 6828 State Route 162, Maryville, IL 62062-8500 2007-12-11
1619150703 Ssm Medical Group Clinic/Center 3 Park Pl, Swansea, IL 62226-2965 2007-12-11
1144402660 Ssm Medical Group Clinic/Center 1031 Bellevue Ave, Suite 300, Saint Louis, MO 63117-1818 2007-11-27
1053593541 Ssm Medical Group Clinic/Center 1035 Bellevue Ave, Suite 502, Saint Louis, MO 63117-1854 2007-11-27
1013199504 Ssm Medical Group Clinic/Center 1035 Bellevue Ave, Suite 305, Saint Louis, MO 63117-1854 2007-11-27
1760663447 Ssm Medical Group Clinic/Center 6400 Clayton Rd, Suite 216, Saint Louis, MO 63117-1850 2007-11-21
1649459215 Ssm Medical Group Clinic/Center 20 The Legends Pkwy, Suite 100, Eureka, MO 63025-3821 2007-10-30
1023218898 Ssm Medical Group Internal Medicine 1011 Bowles Ave, Suite 300, Fenton, MO 63026-2387 2007-07-20
1770789984 Ssm Medical Group Clinic/Center 1747 Smizer Station Rd, Suite 6, Fenton, MO 63026-2784 2007-06-25

Office Location

Street Address 4116 VON TALGE RD
City SAINT LOUIS
State MO
Zip Code 63128-1957

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528088523 Mark Dayton Belcher Anesthesiology 4116 Von Talge Rd, Suite B, Saint Louis, MO 63128-1957 2006-07-20
1295134633 St Louis Regenerative Medicine and Pain Institute,llc Chiropractor 4116 Von Talge Rd, Suite B, Saint Louis, MO 63128-1957 2014-08-21
1922395599 South County Pain Institute LLC Chiropractor 4116 Von Talge Rd, Suite B, Saint Louis, MO 63128-1957 2011-07-05
1760778484 South County Pain Institute LLC Nurse Practitioner 4116 Von Talge Rd, Saint Louis, MO 63128-1957 2011-06-21
1811290943 Ellen Rose Pace Nurse Practitioner 4116 Von Talge Rd, Saint Louis, MO 63128-1957 2010-12-12
1245422120 Thomas Mark Kramer Chiropractor 4116 Von Talge Rd, Saint Louis, MO 63128-1957 2007-08-14
1275656480 Stephen G. Nikodem Dds Ms PC Dentist 4116 Von Talge Rd, Ste A, Saint Louis, MO 63128-1957 2007-04-10
1285655662 Christopher Wilson Pediatrics 4116 Von Talge Rd, Suite B, Saint Louis, MO 63128-1957 2006-07-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235771155 James T Fetsch Dmd LLC Dentist 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 2019-10-11
1326504655 Nikodem Dental Holdings Dentist 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 2019-02-12
1932678505 Michelle Anne Arvidson Physical Therapy Assistant Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 2018-11-13
1245726710 Kristen Rider Nurse Practitioner 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 2018-07-07
1306217427 Sophia Bednarski Dentist 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 2015-10-15
1427434224 Darcie Burrus Counselor 12523 Old Tesson Rd G, St Louis, MO 63128 2015-08-04
1710368584 Sara Hawatmeh Internal Medicine 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 2015-06-17
1871989590 Celia Grace Montes-kolence Speech-Language Pathologist 12335 W Bend Drive, Saint Louis, MO 63128 2015-04-09
1245629302 Marius Antonio Evans Dentist 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 2015-01-13
1801230313 Sarah Elizabeth Walsh Emergency Medicine 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 2013-04-26
Find all providers in zip 63128

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538786413 Melissa An Pediatrics 1 Childrens Pl Ste 3s36, Saint Louis, MO 63110-1002 2020-06-26
1538795547 Virtualnicu Pediatrics 10 Warridge Dr, Saint Louis, MO 63124-1166 2020-03-21
1174082887 Kristen Steinmeyer Pediatrics 714 Peace Haven Ct, Saint Louis, MO 63125-5404 2019-03-13
1487149498 Jessica Sims Pediatrics 1 Childrens Pl Ste 3s34, Saint Louis, MO 63110-1002 2018-06-22
1356835342 Jerome Michael Molleston Pediatrics 1 Childrens Pl Cb8116, Saint Louis, MO 63110-1081 2018-06-21
1598259566 Kylie Bushroe Pediatrics 1 Childrens Pl Ste 3n18, Saint Louis, MO 63110-1081 2018-06-21
1710492228 Ideal Pediatric Wellness, LLC Pediatrics 10007 Kennerly Rd Ste C, Saint Louis, MO 63128-2179 2017-12-06
1578083424 Michael Quinn Pediatrics Wusm Peds Infectious Diseases, 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 2017-06-21
1205367612 Anchal Sethi Pediatrics 1234 S Kingshighway Blvd Ste 1200, Saint Louis, MO 63110-2170 2017-03-27
1831541895 Lila Sarah Wahidi Nolan Pediatrics Wusm Peds Newborn Medicine, 1 Childrens Pl Cb 8116, Saint Louis, MO 63110 2016-07-01
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63128

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Dataset Information

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.

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