NPIMap

Organization Active NPI

SSM Cardiovascular and Thoracic Services, Inc.

  • Cardiovascular Disease Physician
  • Saint Louis, MO
National Provider Identifier
1134400484
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SSM CARDIOVASCULAR AND THORACIC SERVICES, INC.
Practice address
1027 Bellevue Ave
Suite 200
Saint Louis, MO 63117-1851
Phone
(314) 645-6450
Fax
(314) 645-2560
NPI assigned
Aug 31, 2011
Last updated
Aug 31, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
FPP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1027 Bellevue Ave
Suite 200
Saint Louis, MO 63117-1851

Mailing address

12855 N 40 Dr
Suite 300
Saint Louis, MO 63141-8657
Phone (314) 880-6100

National Provider Directory

National Provider Directory

Locations

1035 Bellevue Ave
Ste 502
Saint Louis, MO 63117
Phone (314) 638-3600

12855 N 40 Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 880-6100

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1134400484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR",
            "address_2": "SUITE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418657",
            "telephone_number": "314-880-6100",
            "fax_number": "314-997-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 BELLEVUE AVE",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171851",
            "telephone_number": "314-645-6450",
            "fax_number": "314-645-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM CARDIOVASCULAR AND THORACIC SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FPP, INC.",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "RENKEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "314-989-2160",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 31, 2011; 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.