SSM MEDICAL GROUP (NPI# 1053593541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053593541 |
| Entity Type | Organization |
| Organization Name | SSM MEDICAL GROUP |
| Other Organization Name | ELECTROPHYSIOLOGY |
| Practice Address |
1035 Bellevue Ave Suite 502 Saint Louis MO 63117-1854 |
| Mailing Address |
7980 Clayton Rd Suite 202 Saint Louis MO 63117-1354 |
| Practice Telephone | 3146383600 |
| Mailing Telephone | 3149515368 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |
| Authorized Official Name | LESA SCHNARR (DIRECTOR) |
| Authorized Official Telephone | 3149515368 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Electrophysiology | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1023297637 | Ssm Medical Group | Pediatrics | 4116 Von Talge Rd, Saint Louis, MO 63128-1957 | 2007-10-31 |
| 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 |
| Street Address |
1035 BELLEVUE AVE SUITE 502 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871112102 | Thrive St. Louis, Inc | Clinic/Center | 4331 Lindell Blvd, Saint Louis, MO 63108-2701 | 2020-04-16 |
| 1548893530 | Gateway Direct Primary Care Jv LLC | Clinic/Center | 1015 Corporate Square Dr Ste 101, Saint Louis, MO 63132-2938 | 2020-02-18 |
| 1740722230 | Saint Louis Allergy and Asthma Lc | Clinic/Center | 6651 Chippewa St Ste 312, Saint Louis, MO 63109-2532 | 2016-11-15 |
| 1609245448 | Carestl Health | Clinic/Center | 4500 Pope Ave, Saint Louis, MO 63115-2512 | 2015-09-23 |
| 1538586037 | Advanced Cardiovascular Center LLC | Clinic/Center | 2335 Dougherty Ferry Rd, Suite A, Saint Louis, MO 63122-3313 | 2014-03-21 |
| 1871865881 | North County Health Care, Inc | Clinic/Center | 9231 West Florissant, Saint Louis, MO 63136-1432 | 2012-02-07 |
| 1013195478 | Union Manor Residential Care Facility | Clinic/Center | 2711 Union Blvd, Saint Louis, MO 63113-1003 | 2008-02-07 |
| 1497771653 | Instaclinic, LLC | Clinic/Center | 10805 Sunset Office Dr, Suite 300, Saint Louis, MO 63127-1017 | 2006-07-14 |
| 1508867508 | Family Care Health Centers | Clinic/Center | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2005-08-02 |
| 1346847233 | Washington University | Clinic/Center | 8888 Ladue Rd Ste 100, Saint Louis, MO 63124-2056 | 2020-10-05 |
| 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.