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SSM Cardiovascular and Thoracic Services, Inc.

Organization Active NPI Cardiovascular Disease Physician · Saint Louis, MO

NPI 1134400484 · NPPES record last updated Aug 31, 2011

Key facts

NPI
1134400484
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 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
Organization subpart
Yes
Parent organization (as reported)
FPP, INC.

Authorized official

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

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RC0000X Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 31, 2011.

{
    "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

All providers in Saint Louis, MO · Cardiovascular Disease Physician in Missouri

Sources for this page

Verify at the official NPI Registry.