SSM Berland Eureka Imaging Services LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SSM BERLAND EUREKA IMAGING SERVICES LLC

Practice address

#20 The Legends Parkway Drive
Suite 160
Eureka, MO 63025

Phone

(636) 938-1656

Fax

(636) 938-1674

NPI assigned

Apr 13, 2007

Last updated

Jan 15, 2008By 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

Robert D Seelig, MD

Title

President

Phone

(314) 567-1656

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1194949727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 N NEW BALLAS ROAD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631416716",
            "telephone_number": "314-567-1656",
            "fax_number": "314-567-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#20 THE LEGENDS PARKWAY DRIVE",
            "address_2": "SUITE 160",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "63025",
            "telephone_number": "636-938-1656",
            "fax_number": "636-938-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM BERLAND EUREKA IMAGING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "SEELIG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-567-1656",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO CAID",
            "identifier": "715484606",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scoliosis Specialists of St. Louis LLC
• Wendy Selman, PT, CHT
• Kolleen L Simons, LCSW
• Sonu Muthuvalliappan 4 DMD LLC
• Sports and Physical Therapy Center (SPTC)
• SSM Medical Group (Eureka Medical Group)
• St Josephs Hill Infirmary Inc
• St. Andrew's at Francis Place
• St. Anthony's Physician Organization (Mercy Clinic South Physicians)
• St. Louis Chiropractic, LLC

• Diagnostic Radiology Physician in Eureka, MO
• Providers in Eureka, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.