SSM Medical Group Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SSM MEDICAL GROUP INC.

Doing business as

SSM Health Medical Group

Practice address

1011 Bowles Ave
Suite 400
Fenton, MO 63026-2395

Phone

(636) 496-5030

NPI assigned

Oct 17, 2016

Last updated

Aug 18, 2020By 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

Karen Rewerts

Title

VP Financial Operations

Phone

(314) 989-2034

Specialties & licenses 2

Addresses

Other names 1

• SSM Health Medical Group Doing business as

Locations (25 of 52)

Practitioners 558

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Marshall Aaronson, M.D.

  • Neurological Surgery Physician
  • Saint Louis, MO
  • NPI 1679937908
  NPD (past)
• Mallory Shiver Abate, M.D.

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1710320767
  NPD (past)
• Nana Adofo-Ansong, MBCHB, MPH

  • Student in an Organized Health Care Education/Training Program
  • Saint Louis, MO
  • NPI 1306605738
  NPD (past)
• Kaleigh Halliburton Adrian, MD

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1225521644
  NPD (past)
• Timothy Adrian, APRN

  • Acute Care Nurse Practitioner
  • Saint Louis, MO
  • NPI 1578437182
  NPD (past)
• Attila Ahmad, MD

  • Pediatric Cardiology Physician
  • Saint Louis, MO
  • NPI 1245842699

  Multi-Specialty

  NPD (past)
• Brandon Keith Akers, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1285085308
  NPD (past)
• Nada Al Masalmeh, M.D.

  • Hematology & Oncology Physician
  • Saint Louis, MO
  • NPI 1083147359
  NPD (past)
• Gary M Albers, MD

  • Pediatric Pulmonology Physician
  • Saint Louis, MO
  • NPI 1851301428
  NPD (past)
• Lisa J Alderson, M.D.

  • Specialist
  • Saint Louis, MO
  • NPI 1538102561
  NPD (past)
• Jennifer Aleshire

  • Pediatrics Physician
  • Saint Louis, MO
  • NPI 1447647243
  NPD (past)
• Mohammed Eyad Yaseen Alsabbagh, M.D.

  • Gastroenterology Physician
  • Saint Louis, MO
  • NPI 1083917090
  NPD (past)

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1124579966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955534",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631955534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BOWLES AVE",
            "address_2": "SUITE 400",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262395",
            "telephone_number": "636-496-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "REWERTS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "VP FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "314-989-2034"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SSM Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SSM Health Care St Louis (SSM Health St Clare Fenton)
• SSM Health Care St. Louis (SSM Health St. Clare Hospital - Fenton)
• SSM Medical Group (Suburban West Internal Medicine)
• SSM Medical Group (Family Practice of South County)
• SSM Medical Group (SSM Medical Group DBA Joseph C. Rudolph, M.D.)
• SSM Medical Group, Inc. (SSM Health Medical Group)
• SSM St Clare Surgical Center LLC
• St Anthony's Physician Organization Private Practices LC (Premier Women's Health Care)
• St Louis Counseling Inc
• St Louis Dermatology LLC

• Durable Medical Equipment & Medical Supplies in Fenton, MO
• Providers in Fenton, 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 18, 2020; 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.