SSM Cancer Care, Inc

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

SSM CANCER CARE, INC

Doing business as

SSM Health Cancer Care

Practice address

400 Medical PLZ
Suite 100
Lake Saint Louis, MO 63367-1490

Phone

(636) 639-8600

Fax

(636) 639-8676

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Ellis Hawkins

Title

President

Phone

(636) 496-2500

Specialties & licenses 2

Addresses

Other names 1

• SSM Health Cancer Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1487963179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PLZ",
            "address_2": "SUITE 100",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633671490",
            "telephone_number": "636-639-8600",
            "fax_number": "636-639-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PLZ",
            "address_2": "SUITE 100",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633671490",
            "telephone_number": "636-639-8600",
            "fax_number": "636-639-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM CANCER CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-496-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health Cancer Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farhat Shereen, MD
• Aashray Singareddy, MD
• Divya Sivakumar, D.O., M.A.
• Robert Coty Spraggs, DC
• Square One Counseling, LLC
• Stacey Juengst Counseling Services
• Jennifer Stephens, MA, CCC-SLP
• Andrew Wayne Stine
• Joaquin Francisco Sumaya, D.C.
• Supporting Empty Arms

• Hematology & Oncology Physician in Lake Saint Louis, MO
• Providers in Lake Saint Louis, MO by specialty
• Hematology & Oncology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.