SSM MEDICAL GROUP (NPI# 1649459215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649459215 |
| Entity Type | Organization |
| Organization Name | SSM MEDICAL GROUP |
| Other Organization Name | EUREKA MEDICAL GROUP |
| Practice Address |
20 The Legends Pkwy Suite 100 Eureka MO 63025-3821 |
| Mailing Address |
7980 Clayton Rd Suite 202 Saint Louis MO 63117-1354 |
| Practice Telephone | 6369387888 |
| Practice Fax Number | 6369387171 |
| Mailing Telephone | 3149515368 |
| Mailing Fax Number | 3149515328 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-11-08 |
| Authorized Official Name | MS. LESA M SCHNARR (DIRECTOR) |
| Authorized Official Telephone | 3149515330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Eureka Medical Group | 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 |
| 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 |
| 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 |
20 THE LEGENDS PKWY SUITE 100 |
| City | EUREKA |
| State | MO |
| Zip Code | 63025-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902877012 | Charles S Moore | Family Medicine | 20 The Legends Pkwy, Eureka, MO 63025-3801 | 2006-01-27 |
| 1316329600 | Sarah Winkeler | Internal Medicine | 20 The Legends Pkwy, Eureka, MO 63025-3801 | 2015-06-23 |
| 1619288719 | Anjani Janak Urban | Family Medicine | 20 The Legends Pkwy, Eureka, MO 63025-3801 | 2010-06-23 |
| 1982927331 | Patients First Health Care LLC | Family Medicine | 20 The Legends Pkwy, Eureka, MO 63025-3821 | 2010-03-11 |
| 1972793610 | Gateway Spine LLC | Orthopaedic Surgery | 20 The Legends Pkwy, Eureka, MO 63025-3821 | 2007-07-30 |
| 1598804155 | Orthopedic Specialists, PC | Orthopaedic Surgery | 20 The Legends Pkwy, Suite 100, Eureka, MO 63025-3818 | 2007-02-06 |
| 1831283894 | Tammy L. Prewitt | Nurse Practitioner | 20 The Legends Pkwy, Eureka, MO 63025-3801 | 2006-10-03 |
| 1538264205 | John J Dubois | Internal Medicine | 20 The Legends Pkwy, Eureka, MO 63025-3801 | 2006-09-14 |
| 1992735237 | Robert Bradley Michaels | Family Medicine | 20 The Legends Pkwy, Eureka, MO 63025-3801 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992173736 | Sharon Henderson | Specialist/Technologist | 4525 Missouri 109, Eureka High School, Eureka, MO 63025 | 2015-09-10 |
| 1750654372 | Charles George Thierauf | Radiology | 463 Meramec View Drive, Eureka, MO 63025 | 2012-02-13 |
| 1326273723 | Carol Johnston | Case Management | 1417 West 5th Street, Eureka, MO 63025 | 2009-05-28 |
| 1245485408 | Leslie Arroyo Robins | Family Medicine | 20 Legends Parkway, Suite 110, Eureka, MO 63025 | 2008-12-01 |
| 1740439199 | Kristi A Moore | Internal Medicine | 20 The Legends Parkway, Eureka, MO 63025 | 2008-09-10 |
| 1356508758 | Michael W. Noble, Dmd, PC | Dentist | 60 East North Street, Eureka, MO 63025 | 2008-05-22 |
| 1265640973 | Christopher A Michalek | Social Worker | 643 Vista Hills Ct, Eureka, MO 63025 | 2007-05-18 |
| 1396966883 | Mitzi S Pasch | Social Worker | 1 Hilltop Village Center, Ste. 3a, Eureka, MO 63025 | 2007-05-01 |
| 1194949727 | Ssm Berland Eureka Imaging Services LLC | Radiology | #20 The Legends Parkway Drive, Suite 160, Eureka, MO 63025 | 2007-04-13 |
| 1548388077 | Heather D Gjorgjievski | Family Medicine | 103 Hilltop Village Shopping Center Dr., Eureka, MO 63025 | 2007-03-26 |
| Find all providers in zip 63025 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548215676 | Kalispell Regional Medical Center Inc | Clinic/Center | 298 Osloski Rd, Eureka, MT 59917-9058 | 2006-05-24 |
| 1063772903 | Pain Relief Partners | Clinic/Center | 113 W 5th St, Eureka, MO 63025-1109 | 2012-05-25 |
| 1336115849 | North Valley Hospital, Inc | Clinic/Center | 304 Osloski Rd, Eureka, MT 59917 | 2006-02-24 |
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| 1275014953 | Arch Pediatrics LLC | Clinic/Center | 3844 S Lindbergh Blvd Ste 216, Saint Louis, MO 63127-1369 | 2018-08-22 |
| 1174015515 | Washington University Physicians In Illinois, Inc | Clinic/Center | 4511 Forest Park Ave, Saint Louis, MO 63108-2138 | 2018-06-01 |
| 1164921300 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 | 2018-02-02 |
| 1053822650 | Edge Medical Services Inc. | Clinic/Center | 105 W 34th St Apt 2, Kansas City, MO 64111-1677 | 2017-10-23 |
| 1932618394 | United Physicians Group, LLC | Clinic/Center | 14825 N Outer 40 Rd Ste 365, Chesterfield, MO 63017-2152 | 2017-09-28 |
| 1073022000 | Fairview Heights Medical Group Sc | Clinic/Center | 670 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8573 | 2017-09-21 |
| 1013433762 | Elevating Care Clinic, LLC | Clinic/Center | 2340 E. Meyer Blvd, 208, Kansas City, MO 64132-1105 | 2017-08-15 |
| Find all providers with the same taxonomy | ||||
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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.