| Ssm Depaul Medical Group, Inc. | |
|
14021 New Halls Ferry Rd Florissant MO 63033-2708 | |
| (314) 839-0910 | |
| (314) 839-9053 |
| Full Name | Ssm Depaul Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 14021 New Halls Ferry Rd, Florissant, Missouri |
| Authorized Official Name and Position | Laura Lynn Pullum (DIRECTOR OF PATIENT ACCOUNTS) |
| Authorized Official Contact | 6366692434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm Depaul Medical Group, Inc. 1551 Wall St Suite 310 Saint Charles MO 63303-3541 Ph: (636) 669-2268 | Ssm Depaul Medical Group, Inc. 14021 New Halls Ferry Rd Florissant MO 63033-2708 Ph: (314) 839-0910 |
| NPI Number | 1952312951 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 11/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952312951 | NPI | - | NPPES |
| 6438130003 | Other | MO | MEDICARE DME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
Physician Groups Lc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 Graham Rd, Suite 220, Florissant, MO 63031 Phone: 314-838-6700 Fax: 314-838-6020 | |
Kim Lee Mcdonald, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4585 Washington St, Suite C4, Florissant, MO 63033 Phone: 314-838-8839 Fax: 314-838-4291 | |
Javiish Industries Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1825 Dunn Rd, Florissant, MO 63033 Phone: 314-200-1233 Fax: 314-200-1484 | |
Physician Groups Lc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 Graham Rd, Suite 101, Florissant, MO 63031 Phone: 314-831-6737 Fax: 314-831-9269 | |
Ssm Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1120 Shackelford Rd, Florissant, MO 63031 Phone: 314-921-4420 Fax: 314-921-6086 | |
Meda Integrative Family Medicine & Aesthetics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8214 N Lindbergh Blvd, Florissant, MO 63031 Phone: 314-452-3259 | |
Metro Medical North County Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11115 New Halls Ferry Rd Ste 105, Florissant, MO 63033 Phone: 314-921-6200 Fax: 314-830-0756 |