SIGNATURE MEDICAL GROUP, INC (NPI# 1023435534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023435534 |
| Entity Type | Organization |
| Organization Name | SIGNATURE MEDICAL GROUP, INC |
| Practice Address |
7345 Watson Rd Suite Ll3 Saint Louis MO 63119-4405 |
| Mailing Address |
12639 Old Tesson Rd Saint Louis MO 63128-2786 |
| Practice Telephone | 3148490311 |
| Practice Fax Number | 3148494423 |
| Mailing Telephone | 3148490311 |
| Mailing Fax Number | 3148494423 |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-03-21 |
| Authorized Official Name | JAN VEST (CEO) |
| Authorized Official Telephone | 3148490311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MO | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235430851 | Signature Medical Group, Inc | Family Medicine | 2010 S Arlington Heights Rd Ste 110, Arlington Heights, IL 60005-4100 | 2010-11-12 |
| 1255513784 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 12777 De Paul Drive, Suite 305, Bridgeton, MO 63044 | 2007-11-27 |
| 1992998256 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 20 Progress Point Parkway, Suite 106, O Fallon, MO 63368 | 2007-08-21 |
| 1609269919 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 5301 Veterans Memorial Pkwy, Suite 104, Saint Peters, MO 63376-2298 | 2015-03-11 |
| 1073904769 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 9323 Phoenix Village Pkwy, O Fallon, MO 63368-4281 | 2015-02-17 |
| 1396907614 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 1165 N Butterfield Rd, Bolivar, MO 65613-1056 | 2008-06-27 |
| 1255477469 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 1027 Bellevue Ave, Suite 25, Saint Louis, MO 63117-1851 | 2007-01-29 |
| 1124164942 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 621 S New Ballas Rd, Suite 63b, Saint Louis, MO 63141-8232 | 2007-01-29 |
| 1649201864 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 | 2006-07-05 |
| 1871542761 | Signature Medical Group, Inc | Allergy & Immunology | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 | 2006-05-08 |
| Street Address |
7345 WATSON RD SUITE LL3 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63119-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547802 | Robert Prophete | Urology | 7345 Watson Rd, Southwest Medical Center, Saint Louis, MO 63119-4405 | 2005-06-13 |
| 1720352768 | St. Anthony's Physician Organization Private Practices, L.c. | Clinic/Center | 7345 Watson Rd, Saint Louis, MO 63119-4405 | 2012-03-07 |
| 1962776005 | St. Anthony's Physician Organization | Clinic/Center | 7345 Watson Rd, Saint Louis, MO 63119-4405 | 2012-03-07 |
| 1457689531 | G P Katsantonis Inc | Otolaryngology | 7345 Watson Rd, Saint Louis, MO 63119-4405 | 2009-11-30 |
| 1144473364 | Foot & Ankle Center, LLC | Podiatrist | 7345 Watson Rd, Saint Louis, MO 63119-4405 | 2008-10-31 |
| 1225200769 | Babul Ram Kulkarni | Family Medicine | 7345 Watson Rd, Saint Louis, MO 63119-4405 | 2008-03-25 |
| 1952347049 | Midwest Medical Associates Inc. | Clinic/Center | 7345 Watson Rd, Saint Louis, MO 63119-4405 | 2006-06-20 |
| 1497701569 | Matthew Robert Hill | Internal Medicine | 7345 Watson Rd, Saint Louis, MO 63119-4405 | 2006-05-26 |
| 1770533184 | Roohi Desai | Family Medicine | 7345 Watson Rd, Saint Louis, MO 63119-4405 | 2006-05-10 |
| 1073591772 | Christine L Hoffner-owens | Internal Medicine | 7345 Watson Rd, Saint Louis, MO 63119-4405 | 2006-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
| 1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
| Find all providers in zip 63119 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228233 | Best Care Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2200 W Port Plaza Dr Ste 220b, Saint Louis, MO 63146-3211 | 2020-09-04 |
| 1497368773 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1430 Olive St Ste P, Saint Louis, MO 63103-2360 | 2020-08-26 |
| 1407475858 | Medical Supplies Only LLC | Durable Medical Equipment & Medical Supplies | 13035 Olive Blvd Ste 212, Saint Louis, MO 63141-6179 | 2020-04-15 |
| 1902437460 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6211 Delmar Blvd, Saint Louis, MO 63130-4814 | 2020-02-03 |
| 1306494927 | The Whiteville Drugstore, LLC | Durable Medical Equipment & Medical Supplies | 13035 Olive Blvd Ste 210, Saint Louis, MO 63141-6179 | 2019-08-27 |
| 1669939773 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 115 Branch St, Saint Louis, MO 63147-3503 | 2019-02-25 |
| 1992276604 | Skin Relief Supply | Durable Medical Equipment & Medical Supplies | 10990 New Halls Ferry Rd Ste J110, Saint Louis, MO 63136-4471 | 2018-12-07 |
| 1497272165 | Mercy Pharmacy Services, LLC | Durable Medical Equipment & Medical Supplies | 607 S New Ballas Rd Ste 1415, Saint Louis, MO 63141-8231 | 2017-08-24 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1972048247 | Solutia Medical LLC | Durable Medical Equipment & Medical Supplies | 335 Leffingwell Ave, Suite126, Saint Louis, MO 63122-6417 | 2016-12-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63119 |
Please comment or provide details below to improve the information on SIGNATURE MEDICAL GROUP, INC.
| 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.