SSM CARDIOVASCULAR AND THORACIC SERVICES, INC. (NPI# 1134400484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134400484 |
| Entity Type | Organization |
| Organization Name | SSM CARDIOVASCULAR AND THORACIC SERVICES, INC. |
| Practice Address |
1027 Bellevue Ave Suite 200 Saint Louis MO 63117-1851 |
| Mailing Address |
12855 N 40 Dr Suite 300 Saint Louis MO 63141-8657 |
| Practice Telephone | 3146456450 |
| Practice Fax Number | 3146452560 |
| Mailing Telephone | 3148806100 |
| Mailing Fax Number | 3149976033 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |
| Authorized Official Name | MR. MARK E RENKEN (VICE PRESIDENT) |
| Authorized Official Telephone | 3149892160 |
| Is Organization Subpart | Y |
| Parent Organization Name | FPP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609049113 | Ssm Cardiovascular and Thoracic Services, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 533 Couch Ave, Suite 220, Kirkwood, MO 63122-5561 | 2008-04-04 |
| 1659544260 | Ssm Cardiovascular and Thoracic Services, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1035 Bellevue Ave, Suite 502, Saint Louis, MO 63117-1854 | 2008-04-04 |
| 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 |
| 1952574469 | Ssm Cardiovascular and Thoracic Services, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12255 De Paul Dr, Suite 445, Bridgeton, MO 63044-2510 | 2008-04-04 |
| Street Address |
1027 BELLEVUE AVE SUITE 200 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477558070 | Heather Wuebker | Obstetrics & Gynecology | 1027 Bellevue Ave, Ste 200, Saint Louis, MO 63117-1851 | 2005-06-20 |
| 1467088948 | Kelsey Galicia | Occupational Therapist | 1027 Bellevue Ave, Saint Louis, MO 63117-1996 | 2020-03-17 |
| 1457815854 | Katie Vandegriffe | Social Worker | 1027 Bellevue Ave, Saint Louis, MO 63117-1851 | 2019-01-30 |
| 1588128276 | Jessica Everage | Social Worker | 1027 Bellevue Ave, Saint Louis, MO 63117-1851 | 2019-01-26 |
| 1326512690 | Jessica Lynn Gangwes | Social Worker | 1027 Bellevue Ave, Saint Louis, MO 63117-1851 | 2019-01-19 |
| 1750870440 | Bailey Christian Kohrs | Occupational Therapist | 1027 Bellevue Ave, Saint Louis, MO 63117-1851 | 2018-05-08 |
| 1609308584 | Katie Palubiak | Nurse Practitioner | 1027 Bellevue Ave, Suite 200, Saint Louis, MO 63117-1851 | 2017-03-30 |
| 1083153787 | Alante Q Ghannam | Nurse Practitioner | 1027 Bellevue Ave, Ste 107, Saint Louis, MO 63117-1851 | 2017-02-15 |
| 1730639493 | Amy Mosier | Speech-Language Pathologist | 1027 Bellevue Ave, Attn: Amy K Mosier, Saint Louis, MO 63117-1851 | 2016-10-06 |
| 1104215631 | Mabel Anti | Nurse Practitioner | 1027 Bellevue Ave, 3rd Floor, Saint Louis, MO 63117-1851 | 2015-01-21 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427315423 | Paul Larsen | Internal Medicine | 1027 Bellevue Ave Ste 200, Saint Louis, MO 63117-1851 | 2012-04-13 |
| 1275899718 | Bradley Carl Witbrodt | Internal Medicine | 3023 N Ballas Rd Ste 200, Saint Louis, MO 63131-2330 | 2012-04-10 |
| 1194004952 | Jad Raffoul | Internal Medicine | 1402 S Grand Blvd Fl 14, Saint Louis, MO 63104-1004 | 2011-08-11 |
| 1982999462 | Philip L Mar | Internal Medicine | 3635 Vista Ave Fl 15, Saint Louis, MO 63110-2539 | 2011-06-13 |
| 1255644191 | Rugheed Ghadban | Internal Medicine | 1402 S Grand Blvd Ste 260, Saint Louis, MO 63104-1004 | 2010-07-20 |
| 1962727404 | Tyson E Turner | Internal Medicine | 625 S New Ballas Rd Ste 2015, Saint Louis, MO 63141 | 2010-03-27 |
| 1649468786 | Midwest Cardiovascular, Inc. | Internal Medicine | 1031 Bellevue Ave Ste 200, Saint Louis, MO 63117-1856 | 2007-10-12 |
| 1124225347 | Pradeep Aaron Chandra | Internal Medicine | 11155 Dunn Rd Ste 304e, Saint Louis, MO 63136-6111 | 2007-06-29 |
| 1699856443 | Miguel Angel Paniagua | Internal Medicine | 12414 Lusher Rd, Saint Louis, MO 63138-1456 | 2006-10-18 |
| 1235147109 | Jerome D Cohen | Internal Medicine | 8138 Westmoreland Ave, Provider Enrollment, Saint Louis, MO 63105-3731 | 2006-08-04 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
Please comment or provide details below to improve the information on SSM CARDIOVASCULAR AND THORACIC SERVICES, INC..
| 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.