SSM HEALTH MEDICAL GROUP
NPI 1073880480
Internal Medicine - Cardiovascular Disease in Louisiana, MO

NPI Status: Active since November 30, 2011

Contact Information

2305 GEORGIA ST
LOUISIANA, MO
ZIP 63353
Phone: (314) 291-0846
Fax: (573) 754-6056

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease

About SSM HEALTH MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Ssm Health Medical Group, an internist established in Louisiana, Missouri operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1073880480 assigned on November 2011. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Ssm Health Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Ssm Health Medical Group. The authorized official of this NPI record is Laura Pullum (Billing Manager)

NPI
1073880480
Provider Legal Name
SSM DEPAUL MEDICAL GROUP, INC.
Other Organization Name
SSM HEALTH MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2305 GEORGIA ST LOUISIANA, MO 63353
Location Phone
(314) 291-0846
Location Fax
(573) 754-6056
Mailing Address
1551 WALL ST SUITE 310 SAINT CHARLES, MO 63303
Mailing Phone
(636) 669-2268
Mailing Fax
(573) 754-6056
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-30-2011
Last Update Date
01-15-2016
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An internist like Ssm Health Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LAURA PULLUM

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(636) 669-2434

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
MA3910MEDICARE PIN (08)MO 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073880480
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201431680416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 6 + 8 + 0 + 4 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1073880480 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972617249 HOWARD GILBERT GREENE M.D.
Individual
Family Medicine2305 GEORGIA ST
LOUISIANA, MO 63353
(573) 754-4584
1275635476 GENE W SPECTOR MD
Individual
Radiology (Diagnostic Radiology)2305 GEORGIA ST
LOUISIANA, MO 63353
(573) 754-5531
1376632851 LAURA J MITCHELL MD
Individual
Emergency Medicine2305 GEORGIA ST
LOUISIANA, MO 63353
(573) 754-5531
1528282639PIKE COUNTY MEMORIAL HOSPITAL
Organization
General Acute Care Hospital (Critical Access)2305 GEORGIA ST
LOUISIANA, MO 63353
(573) 754-5531
1437373545PIKE COUNTY MEMORIAL HOSPITAL
Organization
General Acute Care Hospital (Critical Access)2305 GEORGIA ST
LOUISIANA, MO 63353
(573) 754-5531
1346464450PIKE COUNTY MEMORIAL HOSPITAL
Organization
General Acute Care Hospital (Critical Access)2305 GEORGIA ST
LOUISIANA, MO 63353
(573) 754-5531
1871738823PIKE EMERGENCY MEDICINE LLC
Organization
Emergency Medicine2305 GEORGIA ST
LOUISIANA, MO 63353
(573) 754-5531
1700108370DR. RONALD C MYERS D.O.
Individual
Emergency Medicine2305 GEORGIA ST
LOUISIANA, MO 63353
(573) 754-5531
1851688774MARTELLA EMERGENCY GROUP LLC
Organization
Emergency Medicine2305 GEORGIA ST
LOUISIANA, MO 63353
(573) 754-5531
1437265311PIKE COUNTY MEMORIAL HOSPITAL
Organization
Clinic/Center (Rural Health)2305 GEORGIA ST
LOUISIANA, MO 63353
(573) 754-4584
1538513072PIKE COUNTY MEMORIAL HOSPITAL
Organization
Family Medicine2305 GEORGIA ST
LOUISIANA, MO 63353
(573) 754-4584
1962523266EDWARD A. CLINE, DPM, PC
Organization
Podiatrist (Foot & Ankle Surgery)2305 GEORGIA ST
LOUISIANA, MO 63353
(573) 754-4584
1033300488DR. CASEY AMANDA JENNINGS D. O.
Individual
Family Medicine2305 GEORGIA ST
LOUISIANA, MO 63353
(573) 754-4584
1932742012 ERIN COLLETTE ANDERSON FNP-C
Individual
Nurse Practitioner (Primary Care)2305 GEORGIA ST
LOUISIANA, MO 63353
(573) 754-4584
1427409713NORTHEAST MISSOURI MEDICAL PROVIDERS LLC
Organization
Emergency Medicine2305 GEORGIA ST
LOUISIANA, MO 63353
(469) 401-2386
1013073824DR. SUDHIR KAPOOR MBBS, MD, ABIM.
Individual
Internal Medicine (Critical Care Medicine)2305 GEORGIA ST
LOUISIANA, MO 63353
(802) 310-0937
1528671864DR. SUZANNE ELIZABETH WOMMACK PHARM.D
Individual
Pharmacist2305 GEORGIA ST
LOUISIANA, MO 63353
(573) 754-5531
1225499866 RACHEL HARRIS NP
Individual
Nurse Practitioner2305 GEORGIA ST
LOUISIANA, MO 63353
(636) 875-0470
1184955700 TARRAH A GRADY LCSW
Individual
Social Worker (Clinical)2305 GEORGIA ST
LOUISIANA, MO 63353
(573) 754-4584

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073880480, enumerated in the NPI registry as an "organization" on November 30, 2011

The provider is located at 2305 Georgia St Louisiana, Mo 63353 and the phone number is (314) 291-0846

This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 30, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.