SSM REGIONAL HEALTH SERVICES (NPI# 1336555275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336555275 |
| Entity Type | Organization |
| Organization Name | SSM REGIONAL HEALTH SERVICES |
| Other Organization Name | SSM HEALTH SPINE & PAIN MANAGEMENT CENTER |
| Practice Address |
2505 Mission Dr Suite 200 Jefferson City MO 65109-9508 |
| Mailing Address |
Po Box 1027 Jefferson City MO 65102-1027 |
| Practice Telephone | 5736369000 |
| Mailing Telephone | 5736813767 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | GARRICK ELLIOTT MUELLER (CFO) |
| Authorized Official Telephone | 4052807582 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM REGIONAL HEALTH SERVICES |
| 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 |
|---|---|
| SSM Health Spine & Pain Management Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| 1679961577 | Ssm Regional Health Services | Clinic/Center | 2505 Mission Dr Ste 130, Jefferson City, MO 65109-9508 | 2014-12-30 |
| 1306280185 | Ssm Regional Health Services | Clinic/Center | 301 E Price Ave, Suite A, Savannah, MO 64485-2427 | 2013-04-23 |
| 1396886065 | Ssm Regional Health Services | Family Medicine | 2511 W Edgewood Dr Ste G, Jefferson City, MO 65109-5869 | 2007-02-08 |
| 1427063072 | Ssm Regional Health Services | Pharmacy | 875 Hwy 5 South, Tipton, MO 65081-8253 | 2006-07-30 |
| 1518909373 | Ssm Regional Health Services | Family Medicine | 24 West 4th Street, Grant City, MO 64456-0043 | 2006-06-13 |
| 1396782587 | Ssm Regional Health Services | Clinic/Center | 3348 American Ave, Jefferson City, MO 65109-1079 | 2006-05-31 |
| 1588601777 | Ssm Regional Health Services | Clinic/Center | 875 State Route 5, Tipton, MO 65081-8441 | 2006-05-31 |
| 1053368159 | Ssm Regional Health Services | Clinic/Center | 2701 West Edgewood, Suite 101, Jefferson City, MO 65109 | 2006-05-27 |
| 1952357352 | Ssm Regional Health Services | Clinic/Center | 140 Northstar Dr, Holts Summit, MO 65043-1123 | 2006-05-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SSM REGIONAL HEALTH SERVICES | 10101 Woodfield Lane, St. Louis, MO 63132 |
| Street Address |
2505 MISSION DR SUITE 200 |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-9508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336140177 | William Blake Rodgers | Orthopaedic Surgery | 2505 Mission Dr, Suite 200, Jefferson City, MO 65109-9508 | 2005-08-02 |
| 1447857370 | Ssm Regional Health Services | Clinic/Center | 2505 Mission Dr, Jefferson City, MO 65109-9508 | 2020-10-05 |
| 1154937449 | Taylor Donahue | Nurse Practitioner | 2505 Mission Dr, Jefferson City, MO 65109-9508 | 2020-09-22 |
| 1134744162 | Zane Noel Hartgraves | Nurse Anesthetist, Certified Registered | 2505 Mission Dr, Jefferson City, MO 65109-9508 | 2020-06-16 |
| 1558924829 | Lhcg Cxlviii, LLC | Hospice Care, Community Based | 2505 Mission Dr, Jefferson City, MO 65109-9508 | 2019-04-22 |
| 1780101477 | Nathan David Wesche | Pharmacist | 2505 Mission Dr, Jefferson City, MO 65109-9508 | 2017-08-24 |
| 1396275624 | Jenna Smith | Social Worker | 2505 Mission Dr, Jefferson City, MO 65109-9508 | 2017-06-19 |
| 1518324201 | Martha Fuhrman | Health Educator | 2505 Mission Dr, Diabetes Education, Jefferson City, MO 65109-9508 | 2016-01-26 |
| 1922488931 | Ssm Regional Health Services | Specialist | 2505 Mission Dr, Jefferson City, MO 65109-9508 | 2015-06-04 |
| 1487049250 | John Fernando | Internal Medicine | 2505 Mission Dr, Jefferson City, MO 65109 | 2015-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629031018 | Capital Region Medical Center | Clinic/Center | 1014 Madison St, Jefferson City, MO 65102-3458 | 2006-04-08 |
| 1447857370 | Ssm Regional Health Services | Clinic/Center | 2505 Mission Dr, Jefferson City, MO 65109-9508 | 2020-10-05 |
| 1083105134 | Ssm Regional Health Services | Clinic/Center | 2505 Mission Dr Ste 130, Jefferson City, MO 65109 | 2018-05-24 |
| 1457763633 | Jefferson City Medical Group, PC | Clinic/Center | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2014-05-22 |
| 1003096306 | Spine Midwest, Inc | Clinic/Center | 200 Saint Marys Medical Plz, Suite 301, Jefferson City, MO 65101-1604 | 2007-11-05 |
| 1336189398 | Jefferson City Medical Group, P.C. | Clinic/Center | 1241 W Stadium Blvd, First Floor, Suite 1100, Jefferson City, MO 65109 | 2006-06-07 |
| 1023081767 | Capital Region Medical Center | Clinic/Center | 1500 Southwest Blvd, Ste C, Jefferson City, MO 65109 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629458 | Palm Valley Health LLC | Clinic/Center | 1095 Nooning Tree Dr, Chesterfield, MO 63017-2468 | 2020-08-10 |
| 1477175594 | Confident American English, LLC | Clinic/Center | 1190 Jefferson St Ste 103a, Washington, MO 63090-4443 | 2020-05-12 |
| 1619513215 | Southeast Missouri Health Network | Clinic/Center | 835 W Murray Ln, Sikeston, MO 63801-4056 | 2019-11-19 |
| 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 | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
Please comment or provide details below to improve the information on SSM REGIONAL HEALTH SERVICES.
| 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.