SSM MEDICAL GROUP INC. (NPI# 1528503133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528503133 |
| Entity Type | Organization |
| Organization Name | SSM MEDICAL GROUP INC. |
| Other Organization Name | SSM HEALTH MEDICAL GROUP |
| Practice Address |
172 Professional Pkwy Troy MO 63379 |
| Mailing Address |
Po Box 955534 Saint Louis MO 63195-5534 |
| Practice Telephone | 6364626106 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | KAREN REWERTS (VP FINANCIAL OPERATIONS) |
| Authorized Official Telephone | 3149892034 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| SSM Health Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053616110 | Ssm Medical Group Inc. | Orthopaedic Surgery | 12349 De Paul Dr, Suite 100, Bridgeton, MO 63044 | 2011-01-21 |
| 1164581526 | Ssm Medical Group Inc. | Pharmacy | 711 Veterans Memorial Parkway, Suite 102, St. Chalres, MO 63303-2106 | 2006-12-08 |
| 1467997155 | Ssm Medical Group Inc. | Podiatrist | 722 N State Highway 47 Ste B, Warrenton, MO 63383 | 2017-01-04 |
| 1124579966 | Ssm Medical Group Inc. | Orthopaedic Surgery | 1011 Bowles Ave, Suite 400, Fenton, MO 63026-2395 | 2016-10-17 |
| 1063960409 | Ssm Medical Group Inc. | Orthopaedic Surgery | 816 S Kirkwood Rd, Suite 105, Saint Louis, MO 63122-6056 | 2016-09-14 |
| 1285004598 | Ssm Medical Group Inc. | Pain Medicine | 12255 Depaul Drive, Suite 120, Bridgeton, MO 63044 | 2015-09-29 |
| 1447633557 | Ssm Medical Group Inc. | Orthopaedic Surgery | 400 1st Capitol Dr, Suite 100, Saint Charles, MO 63301 | 2015-07-07 |
| 1437573920 | Ssm Medical Group Inc. | Orthopaedic Surgery | 1475 Kisker Rd, Suite 100, Saint Charles, MO 63304 | 2014-02-05 |
| 1043518350 | Ssm Medical Group Inc. | Orthopaedic Surgery | 1601 Wentzville Pkwy, Suite 117, Wentzville, MO 63385 | 2011-03-10 |
| 1548578750 | Ssm Medical Group Inc. | Family Medicine | 1101 Highway K, O Fallon, MO 63366 | 2010-09-22 |
| Street Address |
172 PROFESSIONAL PKWY |
| City | TROY |
| State | MO |
| Zip Code | 63379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104860287 | Alicia D King | Family Medicine | 172 Professional Pkwy, Troy, MO 63379-2823 | 2006-06-16 |
| 1114455094 | Stanley Kyle Sachak | Family Medicine | 172 Professional Pkwy, Troy, MO 63379-2823 | 2017-05-23 |
| 1033569132 | Anne Marie Maestas | Podiatrist | 172 Professional Pkwy, Troy, MO 63379-2823 | 2016-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746601 | Cathleen Burks | Counselor | 384 Rockport Dr, Troy, MO 63379 | 2020-10-08 |
| 1851818058 | Sarah Tippit | Occupational Therapist | 39 Cattail Pl, Troy, MO 63379 | 2017-08-28 |
| 1104360239 | Lori Seulean LLC | Counselor | 410 Sydna Ct, Troy, MO 63379 | 2016-12-08 |
| 1659827210 | Elisabeth Marie Nation | Physical Therapist | 722 N Hwy 47 Suite A, Warrenton, MO 63379 | 2016-09-01 |
| 1598054587 | Janice Ann Mills | Counselor | 1385 Creech School Road, Troy, MO 63379 | 2011-03-31 |
| 1437450871 | All Family Chiropractic LLC | Chiropractor | 9 Plaza, Troy, MO 63379 | 2010-11-16 |
| 1063713246 | Troy Family Dentistry, LLC | Dentist | 128 Professional Parkway, Troy, MO 63379 | 2010-11-04 |
| 1437478476 | Jennifer G Ray | Pediatrics | 164 Professional Pkwy, Troy, MO 63379 | 2010-05-28 |
| 1184868523 | Troy Residential, LLC | Assisted Living Facility | 159 Professional Parkway, Troy, MO 63379 | 2009-04-29 |
| 1639356793 | Susan Kaye Galloway | Counselor | 104 Mound, Troy, MO 63379 | 2008-01-30 |
| Find all providers in zip 63379 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
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| 1124668462 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2431 6th Ave Ste P, Troy, NY 12180-2227 | 2020-01-15 |
| 1720647449 | Medexa, LLC | Durable Medical Equipment & Medical Supplies | 4893 Rochester Rd Ste 100, Troy, MI 48085-4971 | 2019-06-06 |
| 1093370975 | Symed, Inc. | Durable Medical Equipment & Medical Supplies | 2820 W Maple Rd Ste 245, Troy, MI 48084-7065 | 2019-05-06 |
| 1033622733 | Paradygm Health Group | Durable Medical Equipment & Medical Supplies | 550 Stephenson Hwy Ste 450, Troy, MI 48083-1140 | 2017-11-16 |
| 1073037875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 75 Vandenburgh Ave Ste 8, Troy, NY 12180-6039 | 2017-08-02 |
| 1699298307 | Anderson Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 4893 Rochester Rd Ste A, Troy, MI 48085-4971 | 2017-07-25 |
| 1760918882 | Aeroflow, Inc | Durable Medical Equipment & Medical Supplies | 2888 E Long Lake Rd Ste 126, Troy, MI 48085-3793 | 2017-05-10 |
| 1770034449 | Nexus LLC | Durable Medical Equipment & Medical Supplies | 1352 Combermere Dr Ste A, Troy, MI 48083-4803 | 2016-10-18 |
| 1801346283 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 1147 Us Hwy 231 South, Troy, AL 36081 | 2016-10-10 |
| Find all providers in TROY | ||||
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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.