Ssm Health Medical Group

LBN: Ssm Depaul Medical Group, Inc.
Ssm Health Medical Group is an health care organization with primary practice located at 2024 Dorsett Vlg , Maryland Heights MO 63043-2208. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Ssm Depaul Medical Group, Inc. can be contacted via phone (314) 590-0550, or through Pullum, Laura L via phone (636) 669-2434.

Contact Information

Primary practice address
2024 Dorsett Vlg Maryland Heights MO 63043-2208
Phone: (314) 590-0550
Fax: (314) 590-0560
Website:
Map and Directions
Authorized official contact:
Name: Pullum, Laura L
Phone: (636) 669-2434

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1760456743
LBN Legal business name Ssm Depaul Medical Group, Inc.
DBA Doing business as Ssm Health Medical Group
Authorized official Pullum, Laura L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2006
Last updated Jan 15th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760456743 NPPES
Missouri MEDICAID 502915705
Missouri Other CJ7983

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