SSM MEDICAL GROUP


Address: 6828 State Route 162, Maryville, IL 62062-8500
Phone: 6182885084

SSM MEDICAL GROUP (NPI# 1538342621) 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) 1538342621
Entity Type Organization
Organization Name SSM MEDICAL GROUP
Other Organization Name MARYVILLE PEDIATRICS
Practice Address 6828 State Route 162
Maryville
IL 62062-8500
Mailing Address 7980 Clayton Rd
Suite 202
Saint Louis
MO 63117-1354
Practice Telephone 6182885084
Mailing Telephone 3149515368
Enumeration Date 2007-12-11
Last Update Date 2007-12-11
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 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Maryville 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
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
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

Office Location

Street Address 6828 STATE ROUTE 162
City MARYVILLE
State IL
Zip Code 62062-8500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700807187 Habibur Rahman Pediatrics 6828 State Route 162, Suite A, Maryville, IL 62062-8500 2006-07-21
1851591523 Jennifer Dawn Krick Pediatrics 6828 State Route 162, Maryville, IL 62062-8500 2007-07-20
1609964543 Tri-city Neurology Associates, Ltd. Psychiatry & Neurology 6828 State Route 162, Maryville, IL 62062-8558 2006-10-10
1245345537 Riaz A Naseer Psychiatry & Neurology 6828 State Route 162, Maryville, IL 62062-8558 2006-08-20
1750496055 Syed S Ali Psychiatry & Neurology 6828 State Route 162, Maryville, IL 62062-8558 2006-08-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104325091 Jennifer M Oyler Physician Assistant 6812 State Route 162 Suite 120, Maryville, IL 62062 2018-02-06
1710495965 Sarah Elizabeth Barto Family Medicine 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 2018-01-22
1104348085 Lindsey Nicole Langendorf Chiropractor 62 Executive Plaza Ct, Maryville, IL 62062 2017-07-12
1043750540 Gina Saal Nurse Anesthetist, Certified Registered 6800 Rt 162, Maryville, IL 62062 2017-03-02
1548657737 Karen Michelle Bertels Emergency Medicine 6800 Il - 162, Maryville, IL 62062 2015-04-25
1811258148 Debra Ann Hoelscher Internal Medicine 2102 Vadalabene, Maryville, IL 62062 2012-06-04
1538438445 Casey Elizabeth Wiesemeyer Speech-Language Pathologist 2201 Copper Creek Rd, Maryville, IL 62062 2011-12-21
1407144819 Norah Claire Farley Baker Family Medicine 10 Professional Park Dr., Maryville, IL 62062 2011-07-19
1891092474 Kimberly M Schneider Physician Assistant 20b Professional Park Drive, Maryville, IL 62062 2011-02-17
1669782397 Purandhri Patel Physical Therapist 6820 State Route 162, Maryville, IL 62062 2010-10-15
Find all providers in zip 62062

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811248628 Barefoot Chiropractic LLC Clinic/Center 1406 N Mulberry St, Maryville, MO 64468-1157 2012-09-20
1881224707 Mullock Health Care LLC Clinic/Center 2332 S Main St, Maryville, MO 64468-3622 2020-01-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568069805 Elite Spine & Wellness Center, Inc Clinic/Center 5898 Pathfinder Rd, Rockford, IL 61109-4008 2020-10-08
1407453236 Dirsi, Inc Clinic/Center 2112 N Dayton St, Chicago, IL 60614-4302 2020-10-05
1588261770 Mount Sinai Community Foundation Dba Sinai Medical Group Clinic/Center 2701 W 68th St Fl 3, Chicago, IL 60629-1813 2020-10-01
1013514298 Mount Sinai Community Foundation Dba Sinai Medical Group Clinic/Center 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 2020-10-01
1841804879 Chicago Poly Clinic LLC Clinic/Center 2446 W Devon Ave, Chicago, IL 60659-1913 2020-09-08
1386258226 Ortho Spine Surgical LLC Clinic/Center 1925 E 95th St Ste 220, Chicago, IL 60617-4710 2020-09-08
1821607425 Desired Medical Services Incorporated Clinic/Center 371 Mackinaw Ave, Calumet City, IL 60409-2524 2020-07-29
1639787823 Md Infusions, Pllc Clinic/Center 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 2020-07-14
1407474083 Staten Family Practice Pllc Clinic/Center 500 W Virginia Ave, Gillespie, IL 62033-1025 2020-07-09
1629696679 Serenity Internal Medicine & Wellness Center Clinic/Center 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 2020-07-07
Find all providers with the same taxonomy

Competitor

Search similar providers

City MARYVILLE
Zip Code 62062

Improve Information

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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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