Active NPI
SSM Health Care Group
Doing business as SLUCare Physician Group
- Dermatopathology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- Legal business name
- SSM HEALTH CARE GROUP
- Doing business as
- SLUCare Physician Group
- Practice address
- 1225 S Grand Blvd
Level 3 Door 3,4,5
Saint Louis, MO 63104-1016 - Phone
- (314) 997-3400
- Fax
- (314) 256-3364
- NPI assigned
- Apr 29, 2022
- Last updated
- Feb 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eileen M Lamm
- Title
- Vice President - Finance
- Phone
- (314) 994-6219
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | NU | Primary |
Addresses
Primary practice location
1225 S Grand Blvd
Level 3 Door 3,4,5
Saint Louis, MO 63104-1016
Mailing address
PO Box 954467
Saint Louis, MO 63195-4467
Phone (314) 617-3508
Other names 1
- SLUCare Physician Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220830001650 | MO | Part B Supplier - Independent Clinical Laboratory | 0143608372 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Saint Louis, MO |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba SLUCare Physician Group
- Anatomic Pathology & Clinical Pathology Physician
- Saint Louis, MO
- NPI 1043955503
O20220830001650
National Provider Directory
National Provider Directory- Tax ID family
- Slucare Physician Group
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba SLUCare Physician Group
- Anatomic Pathology & Clinical Pathology Physician
- Saint Louis, MO
- NPI 1043955503
-
dba SLUCare Physician Group
- Durable Medical Equipment & Medical Supplies
- Saint Louis, MO
- NPI 1306580659
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba SSM St. Joseph Hospital-Wentzville Outpatient Pharmacy
- Community/Retail Pharmacy
- Wentzville, MO
- NPI 1154728640
Member Of
Locations (25 of 28)
4503 Parker Rd
Black Jack, MO 63033
Phone (314) 633-4400
12277 De Paul Dr
Ste 100
Bridgeton, MO 63044
Phone (314) 209-4560
224 S Woods Mill Rd
Ste 665S
Chesterfield, MO 63017
226 S Woods Mill Rd
Ste 62
Chesterfield, MO 63017
Phone (314) 469-3990
3250 Gordonville Rd
Ste 250
Cpe Girardeau, MO 63703
Phone (573) 331-3155
400 1st Capitol Dr
Ste 401
Saint Charles, MO 63301
Phone (314) 946-8700
1009 Executive Parkway Dr
Ste 100
Saint Louis, MO 63141
Phone (314) 469-4963
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
1027 Bellevue Ave
Fl 2
Saint Louis, MO 63117
Phone (314) 768-8064
1035 Bellevue Ave
Ste 212
Saint Louis, MO 63117
Phone (314) 287-8080
10887 West Florissant Ave
Saint Louis, MO 63136
Phone (314) 524-5737
1225 S Grand Blvd
#3L
Saint Louis, MO 63104
Phone (314) 257-3760
1225 S Grand Blvd
#4
Saint Louis, MO 63104
Phone (314) 577-8007
1225 S Grand Blvd
Fl 3
Saint Louis, MO 63104
Phone (314) 257-3760
1755 S Grand Blvd
Fl 1
Saint Louis, MO 63104
Phone (314) 617-2777
2315 Dougherty Ferry Rd
Ste 102
Saint Louis, MO 63122
2315 Dougherty Ferry Rd
Ste 200A
Saint Louis, MO 63122
Phone (314) 977-9711
2315 Dougherty Ferry Rd
Ste 200B
Saint Louis, MO 63122
Phone (314) 977-9711
2315 Dougherty Ferry Rd
Ste 205
Saint Louis, MO 63122
Phone (314) 977-9600
2315 Dougherty Ferry Rd
Ste 211
Saint Louis, MO 63122
Phone (314) 617-2270
3530 Laclede Ave
Saint Louis, MO 63103
Phone (314) 977-2323
3545 Lafayette Ave
Ste 1200
Saint Louis, MO 63104
Phone (314) 977-5337
3685 Vista Ave
Saint Louis, MO 63110
Phone (314) 257-7000
3691 Rutger St
Fl 2
Saint Louis, MO 63110
Phone (314) 762-0089
3700 W Pine Mall
Saint Louis, MO 63108
Practitioners & affiliated clinicians
Practitioners 1,329
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.
-
- Neurological Surgery Physician
- Saint Louis, MO
- NPI 1679937908
-
- Infectious Disease Physician
- Saint Louis, MO
- NPI 1881885044
-
- Physical Therapist
- Saint Louis, MO
- NPI 1447405055
-
- Diagnostic Radiology Physician
- Chesterfield, MO
- NPI 1477710051
-
- Nephrology Physician
- Saint Louis, MO
- NPI 1790992675
-
- Acute Care Nurse Practitioner
- Saint Louis, MO
- NPI 1578437182
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1477593044
-
- Gastroenterology Physician
- Saint Louis, MO
- NPI 1770937492
-
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1700894557
-
- Psychiatry Physician
- Saint Louis, MO
- NPI 1285085308
-
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1164251864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739923200000",
"number": "1932844495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 954467",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631954467",
"telephone_number": "314-617-3508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 S GRAND BLVD",
"address_2": "LEVEL 3 DOOR 3,4,5",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041016",
"telephone_number": "314-997-3400",
"fax_number": "314-256-3364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SSM HEALTH CARE GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-29",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A",
"authorized_official_last_name": "LAMM",
"authorized_official_first_name": "EILEEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VICE PRESIDENT - FINANCE",
"authorized_official_telephone_number": "314-994-6219"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SLUCare Physician Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
- SSM Health Businesses (SSM Health at Home Home Health St Louis)
- SSM Health Cardinal Glennon Transport
- SSM Health Care Group (SLUCare Physician Group)
- SSM Health Care Group (SLUCare Physician Group)
- SSM Health Care Group (SLUCare Physician Group)
- SSM Health Care St Louis (SSM Health Pharmacy)
- SSM Health Care St Louis (SSM Health Specialty Pharmacy)
- SSM Health Care St. Louis (SSM Health Cardinal Glennon Children's Hospital)
- SSM Health Care St. Louis (SSM Health St. Mary's Hospital Physician Billing)
- SSM Health Care St. Louis (SSM Health St. Mary's Hospital - St. Louis)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.