Signature Medical Group, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SIGNATURE MEDICAL GROUP, INC.

Practice address

12122 Tesson Ferry Rd
Suite 100
Saint Louis, MO 63128-1772

Phone

(314) 849-0808

Fax

(314) 849-8983

NPI assigned

Jul 10, 2010

Last updated

Aug 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chad Sackman

Title

Ceo

Phone

(314) 849-0311

Specialties & licenses 1

Addresses

Electronic endpoints 8

Interoperability endpoints

• Direct secure messaging: rmirkin@signaturehealth.net

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1063724706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12639 OLD TESSON RD",
            "address_2": "SUITE 115",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282786",
            "telephone_number": "314-849-0311",
            "fax_number": "314-849-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12122 TESSON FERRY RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281772",
            "telephone_number": "314-849-0808",
            "fax_number": "314-849-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "SACKMAN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-849-0311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmirkin@signaturehealth.net",
            "affiliation": "N",
            "address_1": "12122 Tesson Ferry Rd",
            "address_2": "Suite 100",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631281772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmirkin@signaturehealth.net",
            "affiliation": "N",
            "address_1": "12122 Tesson Ferry Rd",
            "address_2": "Suite 100",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631281772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmirkin@signaturehealth.net",
            "affiliation": "N",
            "address_1": "12122 Tesson Ferry Rd",
            "address_2": "Suite 100",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631281772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmirkin@signaturehealth.net",
            "affiliation": "N",
            "address_1": "12122 Tesson Ferry Rd",
            "address_2": "Suite 100",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631281772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmirkin@signaturehealth.net",
            "affiliation": "N",
            "address_1": "12122 Tesson Ferry Rd",
            "address_2": "Suite 100",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631281772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmirkin@signaturehealth.net",
            "affiliation": "N",
            "address_1": "12122 Tesson Ferry Rd",
            "address_2": "Suite 100",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631281772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmirkin@signaturehealth.net",
            "affiliation": "N",
            "address_1": "12122 Tesson Ferry Rd",
            "address_2": "Suite 100",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631281772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmirkin@signaturehealth.net",
            "affiliation": "N",
            "address_1": "12122 Tesson Ferry Rd",
            "address_2": "Suite 100",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631281772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Signature Healthcare Foundation (Signature Foundation Rehabilitation)
• Signature Home Health Care LLC
• Signature Medical Group of KC, P.a.
• Signature Medical Group, Inc
• Signature Medical Group, Inc
• Rosette Marie Signorelli, L.C.S.W.
• Wendy Catherine Sigurdson
• Mary Alexis Siki
• Jonathan Sikora, MD
• Dan-Arin Silasi, MD

• Durable Medical Equipment & Medical Supplies in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.