SSM MEDICAL GROUP (NPI# 1760663447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760663447 |
| Entity Type | Organization |
| Organization Name | SSM MEDICAL GROUP |
| Other Organization Name | GATEWAY SPECIALISTS |
| Practice Address |
6400 Clayton Rd Suite 216 Saint Louis MO 63117-1850 |
| Mailing Address |
7980 Clayton Rd Suite 202 Saint Louis MO 63117-1354 |
| Practice Telephone | 3146467848 |
| Mailing Telephone | 3149515330 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |
| Authorized Official Name | LESA 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 |
|---|---|
| Gateway Specialists | 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 |
| 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 |
6400 CLAYTON RD SUITE 216 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518966431 | Deborah J Garbo | Nurse Practitioner | 6400 Clayton Rd, Suite 212, Saint Louis, MO 63117-1850 | 2005-07-21 |
| 1528593928 | Maria Winsor | Nurse Practitioner | 6400 Clayton Rd, Saint Louis, MO 63117-1850 | 2017-04-24 |
| 1528500766 | Lauren R Neier | Physician Assistant | 6400 Clayton Rd, Suite 110, Saint Louis, MO 63117-1850 | 2016-11-04 |
| 1861841694 | Francisco Silva | Registered Nurse | 6400 Clayton Rd, Suite 303, Saint Louis, MO 63117-1850 | 2016-06-13 |
| 1780053652 | Clayton Medical Center | Specialist | 6400 Clayton Rd, Suite 303, Saint Louis, MO 63117-1850 | 2015-09-21 |
| 1437555653 | Kimberly Harsy | Registered Nurse | 6400 Clayton Rd, Ste. 303, Saint Louis, MO 63117-1850 | 2014-11-16 |
| 1033484175 | Raymond A. Brickhouse, Dpm LLC | Podiatrist | 6400 Clayton Rd, Suite 412, Saint Louis, MO 63117-1850 | 2012-03-21 |
| 1366766735 | Jaclyn Nicole Gill | Emergency Medicine | 6400 Clayton Rd, Ste 110, Saint Louis, MO 63117-1850 | 2010-03-15 |
| 1205009552 | Sarah M Wilmsmeyer | Physician Assistant | 6400 Clayton Rd, Ste 110, Saint Louis, MO 63117-1850 | 2008-04-08 |
| 1336312693 | Lori A Mccullough | Physician Assistant | 6400 Clayton Rd, Ste 110, Saint Louis, MO 63117-1850 | 2008-04-08 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1073022000 | Fairview Heights Medical Group Sc | Clinic/Center | 670 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8573 | 2017-09-21 |
| 1174830640 | Washington University School of Medicine | Clinic/Center | 4921 Parkview Pl Lowr Level, Center for Advanced Medicine, Saint Louis, MO 63110-1032 | 2010-09-07 |
| 1013542877 | Washington University | Clinic/Center | 4921 Parkview Pl Ste 5a, Saint Louis, MO 63110-1032 | 2020-03-11 |
| 1760946156 | Washington University Physicians In Illinois, Inc | Clinic/Center | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2019-01-30 |
| 1003387689 | Victus Physician Services, LLC | Clinic/Center | 12345 West Bend Drive, Suite 201, Saint Louis, MO 63128 | 2018-12-08 |
| 1356822993 | Washington University Physicians In Illinois, Inc | Clinic/Center | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2018-08-22 |
| 1972091825 | Wuca Southwest Pediatrics LLC | Clinic/Center | 6526 Lansdowne Ave, Saint Louis, MO 63109-2654 | 2018-04-26 |
| 1669995403 | Washington University | Clinic/Center | 11125 Dunn Rd Ste 100, Saint Louis, MO 63136-6132 | 2017-07-24 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
Please comment or provide details below to improve the information on SSM MEDICAL GROUP.
| 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.