SSM Medical Group Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SSM MEDICAL GROUP INC.

Doing business as

SSM Health Medical Group

Practice address

722 N State Highway 47 Ste B
Warrenton, MO 63383

Phone

(636) 456-3413

NPI assigned

Jan 4, 2017

Last updated

Aug 18, 2020By 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

Karen Rewerts

Title

VP Financial Operations

Phone

(314) 989-2034

Specialties & licenses 2

Addresses

Other names 1

• SSM Health Medical Group Doing business as

Locations (25 of 36)

Practitioners 600

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.

• Ann Rebecca Abbott Marin, DO

  • Family Medicine Physician
  • Arnold, MO
  • NPI 1477132421
  NPD
• Elsayed Salem Abo-Salem, MD

  • Interventional Cardiology Physician
  • Saint Louis, MO
  • NPI 1629207477
  NPD
• Pratibha Mary Abraham, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Fenton, MO
  • NPI 1336589118
  NPD
• Lindsey Danielle Adams, NP-C

  • Nurse Practitioner
  • Fenton, MO
  • NPI 1326611757
  NPD
• Muyibat A Adelani, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Saint Louis, MO
  • NPI 1396908042
  NPD
• Jamshed Gul Agha, MD

  • Hematology & Oncology Physician
  • Saint Charles, MO
  • NPI 1720041395
  NPD
• Tauqir X Ahmed, MD

  • Surgery Physician
  • Bridgeton, MO
  • NPI 1336252204
  NPD
• Najat A. Al-Sherri, M.D.

  • Obstetrics Physician
  • Arnold, MO
  • NPI 1407295298
  NPD
• Haseena Mazhar Ali, MD

  • Internal Medicine Physician
  • Saint Charles, MO
  • NPI 1851738769
  NPD
• Zain Ali, M.D.

  • Interventional Cardiology Physician
  • Fenton, MO
  • NPI 1518319656
  NPD
• Saad Alkaade, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1033433594
  NPD
• Laura Ly Allen, N.P.

  • Adult Health Nurse Practitioner
  • Fenton, MO
  • NPI 1760878839
  NPD

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1467997155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955534",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631955534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 N STATE HIGHWAY 47 STE B",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "63383",
            "telephone_number": "636-456-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "REWERTS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "VP FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "314-989-2034"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SSM Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dan Robert Smith
• Meredith Smith, PT, DPT
• Adam Sparks, DPT, ATC
• Sport and Spine Chiropractic Center LLC
• SSM Cardinal Glennon Children's Hospital (SSM Health Cardinal Glennon Pediatrics)
• SSM Select Rehab St Louis LLC (SSM Physical Therapy)
• SSM Select Rehab St. Louis, LLC (SSM Health PT)
• SSM Select Rehab St. Louis, LLC
• SSM St. Charles Clinic Medical Group, Inc. (SSM Health Medical Group)
• SSM St. Joseph Hospital West (St. Joseph Warrenton Urgent Care)

• Durable Medical Equipment & Medical Supplies in Warrenton, MO
• Providers in Warrenton, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.