Signature Medical Group, Inc
LBN: Signature Medical Group, Inc
Signature Medical Group, Inc is an health care organization with primary practice located at 12639 Old Tesson Rd Suite 115, Saint Louis MO 63128-2786. The organization recently has 11 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty.
Signature Medical Group, Inc can be contacted via phone (314) 849-0311, or through Sackman, Chad via phone (314) 849-0311.
Contact Information
Primary practice address
12639 Old Tesson Rd Suite 115
Saint Louis MO 63128-2786
Phone: (314) 849-0311
Fax: (314) 849-4423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | ||
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | Missouri | |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | Missouri | |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | Missouri | |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | Missouri | |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | Missouri | |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | Missouri | |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | Missouri |
Profile Details
| NPI number | 1871542761 |
|---|---|
| LBN Legal business name | Signature Medical Group, Inc |
| DBA Doing business as | |
| Authorized official | Sackman, Chad |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Aug 8th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871542761 | NPPES |
| Missouri | MEDICAID | 501357701 | |
| Missouri | Other | 377225 | |
| Missouri | Other | 3223 | |
| Missouri | Other | 7217344 | |
| Missouri | Other | CY0091 |
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