SSM MEDICAL GROUP INC. (NPI# 1043518350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043518350 |
| Entity Type | Organization |
| Organization Name | SSM MEDICAL GROUP INC. |
| Other Organization Name | SSM ORTHOPEDICS |
| Practice Address |
1601 Wentzville Pkwy Suite 117 Wentzville MO 63385 |
| Mailing Address |
Po Box 955534 Saint Louis MO 63195-5534 |
| Practice Telephone | 6363328455 |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | KAREN REWERTS (VP FINANCIAL OPERATIONS) |
| Authorized Official Telephone | 3149892034 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM MEDICAL GROUP INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MO | Allopathic & Osteopathic Physicians | |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| SSM Health Medical Group | Doing Business As Name - Organization |
| SSM ORTHOPEDICS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053616110 | Ssm Medical Group Inc. | Orthopaedic Surgery | 12349 De Paul Dr, Suite 100, Bridgeton, MO 63044 | 2011-01-21 |
| 1164581526 | Ssm Medical Group Inc. | Pharmacy | 711 Veterans Memorial Parkway, Suite 102, St. Chalres, MO 63303-2106 | 2006-12-08 |
| 1528503133 | Ssm Medical Group Inc. | Podiatrist | 172 Professional Pkwy, Troy, MO 63379 | 2017-01-05 |
| 1467997155 | Ssm Medical Group Inc. | Podiatrist | 722 N State Highway 47 Ste B, Warrenton, MO 63383 | 2017-01-04 |
| 1124579966 | Ssm Medical Group Inc. | Orthopaedic Surgery | 1011 Bowles Ave, Suite 400, Fenton, MO 63026-2395 | 2016-10-17 |
| 1063960409 | Ssm Medical Group Inc. | Orthopaedic Surgery | 816 S Kirkwood Rd, Suite 105, Saint Louis, MO 63122-6056 | 2016-09-14 |
| 1285004598 | Ssm Medical Group Inc. | Pain Medicine | 12255 Depaul Drive, Suite 120, Bridgeton, MO 63044 | 2015-09-29 |
| 1447633557 | Ssm Medical Group Inc. | Orthopaedic Surgery | 400 1st Capitol Dr, Suite 100, Saint Charles, MO 63301 | 2015-07-07 |
| 1437573920 | Ssm Medical Group Inc. | Orthopaedic Surgery | 1475 Kisker Rd, Suite 100, Saint Charles, MO 63304 | 2014-02-05 |
| 1548578750 | Ssm Medical Group Inc. | Family Medicine | 1101 Highway K, O Fallon, MO 63366 | 2010-09-22 |
| Street Address |
1601 WENTZVILLE PKWY SUITE 117 |
| City | WENTZVILLE |
| State | MO |
| Zip Code | 63385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114971983 | Dawn M Calabrese | Physician Assistant | 1601 Wentzville Pkwy, Wentzville, MO 63385-3814 | 2006-05-19 |
| 1114290749 | South County Anesthesia Associates, Ltd | Clinic/Center | 1601 Wentzville Pkwy, Suite 109, Wentzville, MO 63385-3814 | 2012-02-13 |
| 1538313424 | St Peters Bone and Joint Surgery, Inc | Durable Medical Equipment & Medical Supplies | 1601 Wentzville Pkwy, Suite 117, Wentzville, MO 63385-3814 | 2008-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1265906176 | Montrice M Haynes | Counselor | 500 Medical Dr., Central Intake, Wentzville, MO 63385 | 2019-01-14 |
| 1841718459 | Linda Duree | Counselor | 7105 Whisper Creek Dr, Wentzville, MO 63385 | 2017-09-03 |
| 1811349368 | Sara Kleinlein | Social Worker | 500 Medical Drive, Wentzville, MO 63385 | 2016-07-08 |
| 1275980757 | Teona Moeller | Nurse Practitioner | 1598 West Meyer Dr., Wentzville, MO 63385 | 2016-05-16 |
| 1831561273 | Jay F. Hauser, Dds, PC | Dentist | 11 Wentzville Bluffs Drive, Wentzville, MO 63385 | 2015-10-26 |
| 1720402035 | Shara Kuehl | Speech-Language Pathologist | One Campus Drive, Wentzville, MO 63385 | 2014-02-06 |
| 1336480474 | Simply Loyal In Home and Transport Services LLC | Home Health | 152 Enterprise Dr, Wentzille, MO 63385 | 2013-03-14 |
| 1750641338 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1849 Wentzville Parkway, Wentzville, MO 63385 | 2012-05-17 |
| Find all providers in zip 63385 | ||||
| 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 |
|---|---|---|---|---|
| 1619318813 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 Wentzville Pkwy, Wentzville, MO 63385-3408 | 2013-07-16 |
| 1215211636 | Health Aid Supplies, LLC | Durable Medical Equipment & Medical Supplies | 107 Creekside Office Dr, Wentzville, MO 63385-3289 | 2011-10-04 |
| 1891083952 | Anns Lingerie and Mastectomy Center Inc | Durable Medical Equipment & Medical Supplies | 974 Wentzville Pkwy, Wentzville, MO 63385-3695 | 2011-07-11 |
| 1790952588 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10 E Highway N, Wentzville, MO 63385-5901 | 2008-05-12 |
| 1326225277 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1053 Meyer Rd, Wentzville, MO 63385-3457 | 2008-01-23 |
| 1083629000 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1993 Wentzville Pkwy, Wentzville, MO 63385-3424 | 2006-07-29 |
| 1396762654 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1971 Wentzville Pkwy, Wentzville, MO 63385-3424 | 2006-07-16 |
| 1790034528 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 3055 Bear Creek Dr, Wentzville, MO 63385-3502 | 2012-09-07 |
| 1538313424 | St Peters Bone and Joint Surgery, Inc | Durable Medical Equipment & Medical Supplies | 1601 Wentzville Pkwy, Suite 117, Wentzville, MO 63385-3814 | 2008-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407646 | Troutman Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 5337 S Campbell Ave Ste A2, Springfield, MO 65810-2494 | 2020-11-07 |
| 1033719323 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 7001 Blue Ridge Blvd Ste P, Raytown, MO 64133-5629 | 2020-10-27 |
| 1093312241 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 7483 Mexico Rd, Saint Peters, MO 63376-1304 | 2020-10-01 |
| 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 |
| 1194339515 | Neighborhood Ltc Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4240 Blue Ridge Blvd Ste 100, Kansas City, MO 64133-1703 | 2020-09-02 |
| 1497368773 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1430 Olive St Ste P, Saint Louis, MO 63103-2360 | 2020-08-26 |
| 1124630546 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 1840 N Commerce Dr, Nixa, MO 65714-7603 | 2020-08-18 |
| 1497373989 | Taylor Made Walk In Tubs LLC | Durable Medical Equipment & Medical Supplies | 420 Nichols Rd, Kansas City, MO 64112-2005 | 2020-07-10 |
| 1487277687 | Medline Industries, Inc. | Durable Medical Equipment & Medical Supplies | 1401 Universal Ave, Kansas City, MO 64120-2139 | 2020-05-21 |
| 1942822549 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 213 Village Square Shop Ctr, Hazelwood, MO 63042-1838 | 2020-05-18 |
| Find all providers with the same taxonomy | ||||
| City | WENTZVILLE |
| Zip Code | 63385 |
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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.