DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SSM DEPAUL MEDICAL GROUP, INC.

MEDICARE: SSM DEPAUL MEDICAL GROUP, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207RP1001XPulmonary Disease Physician
3207RR0500XRheumatology Physician
4207T00000XNeurological Surgery Physician
5207V00000XObstetrics & Gynecology Physician
6208000000XPediatrics Physician
7208D00000XGeneral Practice Physician
8207R00000XInternal Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CJ7983OTHERMORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760456743
Entity Type Code : Organization
Provider Name (Legal Business Name) : SSM DEPAUL MEDICAL GROUP, INC.
Provider Business Mailing Address
First Line : 1551 WALL ST
Second Line : SUITE 310
City : SAINT CHARLES
State : MO
Zip : 63303-3539
Country : US
Telephone Number : 636-669-2268
Fax Number : 314-209-8127
Provider Business Practice Location Address
First Line : 2024 DORSETT VLG
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-2208
Country : US
Telephone Number : 314-590-0550
Fax Number : 314-590-0560
Authorized Official
Title or Position : BILLING MANAGER
Name : MS. LAURA L PULLUM
Credential :
Telephone Number : 636-669-2434
Provider Enumeration Date : 02/15/2006
Last Update Date : 01/15/2016

Similar Medicare Providers

1548233455 — DR. TIMOTHY W JENNINGS D.O.
Practice Location Address:
2024 DORSETT VLG
MARYLAND HEIGHTS, MO
63043-2208
Practice Phone: 314-590-0550
Practice Fax:
1619940277 — DR. MATTHEW MIRIANI D.O.
Practice Location Address:
2024 DORSETT VLG
MARYLAND HEIGHTS, MO
63043-2208
Practice Phone: 314-590-0550
Practice Fax:
1174597629 — DR. FREDRIC A PRATER D.O.
Practice Location Address:
2024 DORSETT VLG
MARYLAND HEIGHTS, MO
63043-2208
Practice Phone: 314-590-0550
Practice Fax:
1821031774 — LEONARD G LUCAS DO
Practice Location Address:
2024 DORSETT VLG
MARYLAND HEIGHTS, MO
63043-2208
Practice Phone: 314-590-0550
Practice Fax: 314-590-0560
1083724272 — DR. SHEERIN BADRI STURM DO
Practice Location Address:
2024 DORSETT VLG
MARYLAND HEIGHTS, MO
63043-2208
Practice Phone: 314-590-0550
Practice Fax:
1871653014 — MISSOURI CVS PHARMACY, L.L.C.
Practice Location Address:
2030 DORSETT VLG
MARYLAND HEIGHTS, MO
63043-2208
Practice Phone: 314-434-5496
Practice Fax: 314-434-7935

Directions to “SSM DEPAUL MEDICAL GROUP, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.