SSM Neurosciences Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

SSM NEUROSCIENCES INC

Doing business as

SSM Health Neurosciences

Practice address

12255 Depaul Dr
Suite 830
Bridgeton, MO 63044

Phone

(314) 291-6556

Fax

(314) 291-0184

NPI assigned

Nov 21, 2008

Last updated

Jan 14, 2016By 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

Laura Pullum

Title

Billing Manager

Phone

(636) 669-2434

Specialties & licenses 1

Addresses

Other names 1

• SSM Health Neurosciences Doing business as

Locations

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1215182001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 WALL ST",
            "address_2": "SUITE 310",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033539",
            "telephone_number": "636-669-2268",
            "fax_number": "636-669-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12255 DEPAUL DR",
            "address_2": "SUITE 830",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-291-6556",
            "fax_number": "314-291-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM NEUROSCIENCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "PULLUM",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "636-669-2434"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health Neurosciences",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SSM Health Care St. Louis (SSM Health DePaul Hospital)
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• SSM Medical Group Inc. (SSM Health Medical Group)
• SSM Medical Group Inc. (SSM Health Medical Group)
• SSM Medical Group Inc. (SSM Health Medical Group)
• SSM Pharmacy @ Depaul
• St Louis County Otolaryngology LTD
• St Louis Heart and Vascular P.C.
• St. Louis Behavioral Health Services, LLC
• St. Louis Children's Surgery Center, LLC

• Neurological Surgery Physician in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Neurological Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.