SSM MEDICAL GROUP INC. (NPI# 1447633557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447633557 |
| Entity Type | Organization |
| Organization Name | SSM MEDICAL GROUP INC. |
| Other Organization Name | SSM HEALTH MEDICAL GROUP |
| Practice Address |
400 1st Capitol Dr Suite 100 Saint Charles MO 63301 |
| Mailing Address |
Po Box 955534 Saint Louis MO 63195-5534 |
| Practice Telephone | 6363328455 |
| Mailing Telephone | 6364985973 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | KAREN REWERTS (VP FINANCIAL OPERATIONS) |
| Authorized Official Telephone | 3149892034 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| SSM Health Medical Group | 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 |
| 1437573920 | Ssm Medical Group Inc. | Orthopaedic Surgery | 1475 Kisker Rd, Suite 100, Saint Charles, MO 63304 | 2014-02-05 |
| 1043518350 | Ssm Medical Group Inc. | Orthopaedic Surgery | 1601 Wentzville Pkwy, Suite 117, Wentzville, MO 63385 | 2011-03-10 |
| 1548578750 | Ssm Medical Group Inc. | Family Medicine | 1101 Highway K, O Fallon, MO 63366 | 2010-09-22 |
| Street Address |
400 1ST CAPITOL DR SUITE 100 |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556405 | Charles M Linsenmeyer | Orthopaedic Surgery | 400 1st Capitol Dr, Ste 100, Saint Charles, MO 63301-2881 | 2005-05-23 |
| 1649648890 | Kimberly J Cockrell | Nurse Practitioner | 400 1st Capitol Dr, Suite 201, Saint Charles, MO 63301-2880 | 2015-09-04 |
| 1982080552 | Kathryn Zanger | Physical Therapist | 400 1st Capitol Dr, Suite 101, Saint Charles, MO 63301-2880 | 2015-08-06 |
| 1922430701 | Emily C Nieters | Physical Therapist | 400 1st Capitol Dr, Suite 101, Saint Charles, MO 63301-2880 | 2013-08-05 |
| 1174759203 | Thomas Frederick Satterly IIi | Orthopaedic Surgery | 400 1st Capitol Dr, Suite 100, Saint Charles, MO 63301-2880 | 2009-06-03 |
| 1215196373 | Consultative Cardiology, LLC | Internal Medicine | 400 1st Capitol Dr, Saint Charles, MO 63301-2880 | 2008-06-04 |
| 1114190725 | Ssm Cardiovascular and Thoracic Services, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 400 1st Capitol Dr, Suite 301, Saint Charles, MO 63301-2880 | 2008-04-04 |
| 1538343744 | Jane L Preuss | Registered Nurse | 400 1st Capitol Dr, Suite 201, Saint Charles, MO 63301-2880 | 2007-12-24 |
| 1801087481 | Radiant Women's Health, P.C. | Obstetrics & Gynecology | 400 1st Capitol Dr, Suite 301, Saint Charles, MO 63301-2880 | 2007-08-07 |
| 1437353349 | Cody Blake Bellard | Orthopaedic Surgery | 400 1st Capitol Dr, Suite 100, Saint Charles, MO 63301-2880 | 2007-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189910 | Kelsey Fix | Occupational Therapist | 3228 Silvertrail Dr, Saint Charles, MO 63301 | 2019-11-19 |
| 1063056307 | Compass Health, Inc. | Clinic/Center | 3075 New Town Blvd, Saint Charles, MO 63301 | 2019-10-30 |
| 1558921361 | Next Steps Therapy & Coaching, LLC | Clinic/Center | 1040 Fairgrounds Road, St. Charles, MO 63301 | 2019-06-14 |
| 1093297426 | Delia Smith | Specialist/Technologist | 209 S Kingshighway, St. Charles, MO 63301 | 2018-09-01 |
| 1285136754 | Helping Hand Home Healthcare, LLC | Home Health | 1360 S 5th Street, Suite 278, Saint Charles, MO 63301 | 2018-03-01 |
| 1972043107 | Robert Christopher Loynd | Otolaryngology | 301 N. 2nd Street, St. Charles, MO 63301 | 2017-03-07 |
| 1457807067 | Angela Thro | Occupational Therapist | 3489 Boschertown Road, Saint Charles, MO 63301 | 2016-09-01 |
| 1487060570 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2100 1st Capitol Dr, St. Charles, MO 63301 | 2014-07-09 |
| 1114337102 | Nucrown,inc. | Optometrist | 1910 First Capital Drive, St. Charles, MO 63301 | 2014-04-30 |
| 1780922476 | Kristen James | Counselor | 120 1st Capitol Dr Ste 5, Saint Charles, MO 63301 | 2013-01-30 |
| Find all providers in zip 63301 | ||||
| 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 |
|---|---|---|---|---|
| 1700249539 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 102 Compass Point Dr Ste A, Saint Charles, MO 63301-4404 | 2016-03-30 |
| 1063885770 | Bk Podiatry Centers, LLC | Durable Medical Equipment & Medical Supplies | 1995 Zumbehl Rd, Saint Charles, MO 63303-2725 | 2015-11-03 |
| 1033456512 | Kohlbrecher Mobility LLC | Durable Medical Equipment & Medical Supplies | 4025 S Old Highway 94, Unit T, Saint Charles, MO 63304-2840 | 2013-01-03 |
| 1306114111 | Complete Foot Care, LLC | Durable Medical Equipment & Medical Supplies | 753 Friedens Rd, Saint Charles, MO 63303-3815 | 2011-12-07 |
| 1043511884 | Dorway Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 110c Point West Blvd, Saint Charles, MO 63301-4408 | 2010-11-10 |
| 1538460332 | Wound Care Solutions LLC | Durable Medical Equipment & Medical Supplies | 2378 Ashley Place Dr, Saint Charles, MO 63303-8323 | 2010-11-10 |
| 1649584061 | Scott Medical | Durable Medical Equipment & Medical Supplies | 200 Woodland Place Ct, Saint Charles, MO 63303-6588 | 2010-07-27 |
| 1669675195 | Riverview Optical, Inc | Durable Medical Equipment & Medical Supplies | 330 1st Capitol Drive, Suite 330, Saint Charles, MO 63301-2835 | 2007-06-11 |
| 1811070881 | The Corner Drugstore Inc | Durable Medical Equipment & Medical Supplies | 3110 W Clay St, Saint Charles, MO 63301-1022 | 2006-10-23 |
| 1902989809 | The Corner Drugstore Inc | Durable Medical Equipment & Medical Supplies | 2 Charlestowne Plz, Saint Charles, MO 63303-6376 | 2006-10-23 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 63301 |
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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.