SSM HEALTH MEDICAL GROUP
NPI 1548578750
Durable Medical Equipment & Medical Supplies in O Fallon, MO
NPI Status: Active since September 22, 2010
Contact Information
1101 HIGHWAY K
O FALLON, MO
ZIP 63366
Phone: (636) 379-6363
Fax: (636) 379-1297
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 26D1009805
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 02-25-2027
About SSM HEALTH MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Ssm Health Medical Group, a provider established in O Fallon, Missouri operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1548578750 assigned on September 2010. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 7 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 Bridget Eder (Provider Enrollment Specialist)
- NPI
- 1548578750
- Provider Legal Name
- SSM MEDICAL GROUP INC.
- Other Organization Name
- SSM HEALTH MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1101 HIGHWAY K O FALLON, MO 63366
- Location Phone
- (636) 379-6363
- Location Fax
- (636) 379-1297
- Mailing Address
- 1551 WALL ST SUITE 310 SAINT CHARLES, MO 63303
- Mailing Phone
- (636) 669-2268
- Mailing Fax
- (636) 379-1297
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-22-2010
- Last Update Date
- 07-16-2018
- Code Navigator
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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | (MO) |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | (MO) |
| 3 | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | (MO) |
| 4 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | (MO) |
| 5 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | (MO) |
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.
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 |
|---|---|---|---|
| 501133607 | MEDICAID (05) | MO |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D1009805
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- February 26, 2025
- Certificate Expiration Date
- February 25, 2027
- Laboratory Director
- RICHARD GEISMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ssm Health Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SSM HEALTH MEDICAL GROUP
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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. | |||||||||
| 1 | 5 | 4 | 8 | 5 | 7 | 8 | 7 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 10 | 7 | 16 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 1 + 0 + 7 + 1 + 6 + 7 + 1 + 0 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1548578750 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1629039714 | DR. JYOTIRMAYA NANDA M.D. Individual | Family Medicine (Adult Medicine) | 1101 HIGHWAY K O FALLON, MO 63366 (636) 379-8138 |
| 1205898533 | ANGELA M PETER NP Individual | Nurse Practitioner (Family) | 1101 HIGHWAY K O FALLON, MO 63366 (636) 379-4590 |
| 1891008579 | MRS. SARAH ANNE FILLA MPT Individual | Physical Therapist | 1101 HIGHWAY K O FALLON, MO 63366 (636) 379-6380 |
| 1316250087 | DR. JASON RUBEL PT Individual | Physical Therapist | 1101 HIGHWAY K O FALLON, MO 63366 (636) 379-6380 |
| 1508171000 | DR. DAVID WILLIAM THOMAS PT Individual | Physical Therapist | 1101 HIGHWAY K O FALLON, MO 63366 (636) 379-6380 |
| 1508828005 | DR. SCOTT G WILLIAMS M.D. Individual | Obstetrics & Gynecology | 1101 HIGHWAY K O FALLON, MO 63366 (636) 978-2492 |
| 1417186099 | DR. CHRISTINE C CORTADILLO D.O. Individual | Obstetrics & Gynecology | 1101 HIGHWAY K O FALLON, MO 63366 (636) 379-6363 |
| 1649799065 | NICOLE GEBHARDT DPT Individual | Physical Therapist | 1101 HIGHWAY K O FALLON, MO 63366 (636) 379-6380 |
| 1366404832 | DR. MICHAEL P HEMMERSMEIER D.O. Individual | Family Medicine | 1101 HIGHWAY K O FALLON, MO 63366 (636) 379-4590 |
| 1871554865 | DR. WAN IN L KOO D.O. Individual | Family Medicine | 1101 HIGHWAY K O FALLON, MO 63366 (636) 379-8138 |
| 1710098454 | DAWN MATSCHINER Individual | Nurse Practitioner | 1101 HIGHWAY K O FALLON, MO 63366 (636) 379-4590 |
| 1386186732 | SAMANTHA L BRANSON FNP Individual | Nurse Practitioner (Family) | 1101 HIGHWAY K O FALLON, MO 63366 (636) 379-6363 |
| 1619938628 | DR. MARYAM NAEMI D.O. Individual | Family Medicine | 1101 HIGHWAY K O FALLON, MO 63366 (636) 379-4590 |
| 1033170741 | DR. CHANDRA K WIEWEL M.D. Individual | Family Medicine | 1101 HIGHWAY K O FALLON, MO 63366 (636) 379-4590 |
| 1730384322 | KIM MARIE WATERHOUSE M.D. Individual | Allergy & Immunology (Allergy) | 1101 HIGHWAY K O FALLON, MO 63366 (636) 379-6363 |
| 1265670525 | TANVIRA K ALAM DO Individual | Obstetrics & Gynecology | 1101 HIGHWAY K O FALLON, MO 63366 (636) 379-6363 |
| 1932481884 | JENNIFER SCHALLERT NP Individual | Nurse Practitioner | 1101 HIGHWAY K O FALLON, MO 63366 (636) 379-6363 |
| 1790028520 | LINDSAY ANN MURPHY DICKERHOFF M.D. Individual | Obstetrics & Gynecology | 1101 HIGHWAY K O FALLON, MO 63366 (636) 379-6363 |
| 1376087437 | MRS. KAMI OWENBY FNP Individual | Nurse Practitioner (Family) | 1101 HIGHWAY K O FALLON, MO 63366 (636) 379-6363 |
| 1174585665 | DR. LEONARD M HOFFMANN M.D. Individual | Family Medicine | 1101 HIGHWAY K O FALLON, MO 63366 (636) 379-4590 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548578750, enumerated in the NPI registry as an "organization" on September 22, 2010
The provider is located at 1101 Highway K O Fallon, Mo 63366 and the phone number is (636) 379-6363
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X
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.
The provider's CLIA number is 26D1009805 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 22, 2010. 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.