Sean David Lattimore (NPI# 1710058961, PAC ID# 2961595673) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1710058961 |
| PAC ID by PECOS | 2961595673 |
| Professional Enrollment ID | I20190416002054 |
| Full Name | Sean David Lattimore |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Address |
1296 Jeffco Blvd Arnold MO 63010-2138 |
| Phone Number | 3142389108 |
| Gender | M |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6608776299 |
| Number of Group Practice Members | 498 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260081 | SSM ST CLARE HEALTH CENTER |
| 141331 | MARSHALL BROWNING HOSPITAL |
| 140125 | GATEWAY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1296 Jeffco Blvd, Arnold, MO 63010-2138 | 3142389108 | SSM MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 9% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Physicians | 497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi R Lutz | Nurse Practitioner | Ssm Medical Group Inc | 1650 Washington Ave, Alton, IL 62002-3931 |
| Anne Marie Maestas | Podiatry | Ssm Medical Group Inc | 400 1st Capitol Dr, Suite 301, Saint Charles, MO 63301-2883 |
| Alina V Adams | Nurse Practitioner | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Jared Henrichs | Family Medicine | Ssm Medical Group Inc | 8670 A Big Bend Blvd, Saint Louis, MO 63119-3839 |
| Jamie L Partin | Nurse Practitioner | Ssm Medical Group Inc | 16105 Manchester Rd, Ellisville, MO 63011-2001 |
| Tyla A Johnson | Nurse Practitioner | Ssm Medical Group Inc | 190 N Florissant Rd, Ferguson, MO 63135-1942 |
| Ashfaq Ullah | Pulmonary Disease | Ssm Medical Group Inc | 12255 De Paul Dr, Suite 500, Bridgeton, MO 63044-2515 |
| Katherine E Galliers | Nurse Practitioner | Ssm Medical Group Inc | 8571 Watson Rd, Webster Groves, MO 63119-5218 |
| Kaci Briann Hale | Nurse Practitioner | Ssm Medical Group Inc | 1001 Bowles Ave, Fenton, MO 63026-2338 |
| Tuyche D Sang | Internal Medicine | Ssm Medical Group Inc | 30 Ronnies Plz, Saint Louis, MO 63126-3552 |
| Street Address |
1296 JEFFCO BLVD |
| City | ARNOLD |
| State | MO |
| Zip | 63010-2138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gayle M Ostermiller | Nurse Practitioner | Ssm Health Care St Louis | 1296 Jeffco Blvd, Suite B, Arnold, MO 63010-2138 |
| Cynthia Visintine | Nurse Practitioner | Ssm Health Care St Louis | 1296 Jeffco Blvd, Suite B, Arnold, MO 63010-2138 |
| Julie Ann Shelton | Nurse Practitioner | Ssm Health Care St Louis | 1296 Jeffco Blvd, Suite B, Arnold, MO 63010-2138 |
| Rubab Jafri | Obstetrics/gynecology | Ssm Medical Group Inc | 1296 Jeffco Blvd, Arnold, MO 63010-2138 |
| Donald P Goeller | Family Medicine | Ssm Medical Group Inc | 1296 Jeffco Blvd, Arnold, MO 63010-2138 |
| Kristina Marie Anderson | Family Medicine | Ssm Medical Group Inc | 1296 Jeffco Blvd, Arnold, MO 63010-2138 |
| Stephanie M Tsai | Obstetrics/gynecology | Ssm Medical Group Inc | 1296 Jeffco Blvd, Arnold, MO 63010-2138 |
| Lindsey C Martin | Nurse Practitioner | Ssm Health Care St Louis | 1296 Jeffco Blvd, Suite B, Arnold, MO 63010-2138 |
| Theresa D Mcfadin | Nurse Practitioner | Ssm Health Care St Louis | 1296 Jeffco Blvd, Suite B, Arnold, MO 63010-2138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Oldani | Podiatry | Center for Advanced Foot and Ankle Surgery Inc | 1515 Astra Way, Arnold, MO 63010-1146 |
| Seth M Anderson | Podiatry | Center for Advanced Foot and Ankle Surgery Inc | 1515 Astra Way, Arnold, MO 63010-1146 |
| Holly Rae Ackermann | Nurse Practitioner | Midwest Medical Practitioners LLC | 525 Jeffco Blvd, Arnold, MO 63010-1407 |
| Cynthia Snider | Nurse Practitioner | Midwest Medical Practitioners LLC | 525 Jeffco Blvd, Arnold, MO 63010-1407 |
| Danish A Jabbar | Internal Medicine | Midwest Medical Practitioners LLC | 525 Jeffco Blvd, Arnold, MO 63010-1407 |
| Lacy L Hosay | Nurse Practitioner | Midwest Medical Practitioners LLC | 525 Jeffco Blvd, Arnold, MO 63010-1407 |
| Diana Elizabeth Toler | Chiropractic | 2190 Tenbrook Rd, Arnold, MO 63010-1515 | |
| Nancy M Birtley | Nurse Practitioner | 100 Woodland Mnr, Woodland Manor, Arnold, MO 63010-2030 | |
| Amy L Schaag | Optometry | Diane G. Wilson, Od and Associates, PC | 1235 Water Tower Pl, Arnold, MO 63010-2142 |
| Heidi L Gioia | Nurse Practitioner | Mercy Clinic East Communities | 1237 Watertower Place, Mercy Clinic Family Medicine Arnold, Arnold, MO 63010-2142 |
| Find all physicians in zip 63010 | |||
| City | ARNOLD |
| Zip Code | 63010 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ARNOLD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Sean David Lattimore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.