NPIMap

Organization Active NPI

SSM Medical Group

Doing business as Preferred Pediatrics

  • Pediatrics Physician
  • Saint Louis, MO
National Provider Identifier
1023297637
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SSM MEDICAL GROUP
Doing business as
Preferred Pediatrics
Practice address
4116 Von Talge Rd
Saint Louis, MO 63128-1957
Phone
(314) 815-3331
Fax
(314) 815-3703
NPI assigned
Oct 31, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lesa Schnarr
Title
Director
Phone
(314) 951-5330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

4116 Von Talge Rd
Saint Louis, MO 63128-1957

Mailing address

4116 Von Talge Rd
Saint Louis, MO 63128-1957
Phone (314) 815-3331

Other names 1

  • Preferred Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Mary Health Ctr18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

4116 Von Talge Rd
Saint Louis, MO 63128
Phone (314) 815-3331

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1023297637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 VON TALGE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281957",
            "telephone_number": "314-815-3331",
            "fax_number": "314-815-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 VON TALGE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281957",
            "telephone_number": "314-815-3331",
            "fax_number": "314-815-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "SCHNARR",
        "authorized_official_first_name": "LESA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-951-5330"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.