Organization Active NPI

SSM Health Care Group

Doing business as SLUCare Physician Group

  • Dermatopathology Physician
  • Saint Louis, MO
National Provider Identifier
1932844495
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory
Tax ID family
Slucare Physician Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

View all 1,329

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

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.

Verify at the official NPI Registry.