SSM St. Joseph Health Center

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

Legal business name

SSM ST. JOSEPH HEALTH CENTER

Practice address

1475 Kisker Rd
Suite 190
Saint Charles, MO 63304-8781

Phone

(636) 498-7800

Fax

(636) 498-7819

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Steven Johnson

Title

Vice President

Phone

(314) 989-2072

Specialties & licenses 1

Addresses

Other names 1

• St. Joseph Radiation Therapy Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• SSM Health Care St. Louis

  • Emergency Medical Services (Emergency Medicine) Physician
  • Lake St Louis, MO
  • NPI 1538113097

  Member Of

  NPD member

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1154376465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 LACKLAND HILL PKWY",
            "address_2": "ATTNT: CREDENTIALING DEPARTMENT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463572",
            "telephone_number": "314-989-0300",
            "fax_number": "314-810-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 KISKER RD",
            "address_2": "SUITE 190",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633048781",
            "telephone_number": "636-498-7800",
            "fax_number": "636-498-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM ST. JOSEPH HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "314-989-2072",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph Radiation Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SSM Health Care St. Louis
• SSM Medical Group Inc.
• SSM Medical Group Inc.
• SSM St. Charles Clinic Medical Group, Inc.
• SSM St. Charles Clinic Medical Group, Inc.
• SSM St. Joseph Health Center
• SSM St. Joseph Health Center
• SSM St. Joseph Surgery Center, LLC
• Ssmdepaul Medical Group
• Scott C St Amour, M.D.

• Radiation Oncology Clinic/Center in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Radiation Oncology Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.