NPIMap

Organization Active NPI

SSM Cardiovascular and Thoracic Services, Inc.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Saint Charles, MO
National Provider Identifier
1114190725
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
SSM CARDIOVASCULAR AND THORACIC SERVICES, INC.
Doing business as
SSM Cardiovascular and Thoracic Services, Inc.
Practice address
400 1St Capitol Dr
Suite 301
Saint Charles, MO 63301-2880
Phone
(314) 647-8269
Fax
(314) 646-1700
NPI assigned
Apr 4, 2008
Last updated
Apr 4, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SSM CARDIOVASCULAR AND THORACIC SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Mr. Mark Renken
Title
Vice President
Phone
(314) 989-2160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X Primary

Addresses

Primary practice location

400 1St Capitol Dr
Suite 301
Saint Charles, MO 63301-2880

Mailing address

400 1St Capitol Dr
Suite 301
Saint Charles, MO 63301-2880
Phone (314) 647-8269

Other names 1

  • SSM CARDIOVASCULAR AND THORACIC SERVICES, INC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SSM Cardiovascular Thoracic3 organizations share this tax ID, including this one
Part of
SSM Cardiovascular Thoracic

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1114190725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 1ST CAPITOL DR",
            "address_2": "SUITE 301",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012880",
            "telephone_number": "314-647-8269",
            "fax_number": "314-646-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 1ST CAPITOL DR",
            "address_2": "SUITE 301",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012880",
            "telephone_number": "314-647-8269",
            "fax_number": "314-646-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM CARDIOVASCULAR AND THORACIC SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSM CARDIOVASCULAR AND THORACIC SERVICES, INC.",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "RENKEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "314-989-2160",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM CARDIOVASCULAR AND THORACIC SERVICES, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.