NPIMap

Organization Active NPI

SSM Cardiovascular and Thoracic Services, Inc.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Bridgeton, MO
National Provider Identifier
1952574469
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
SSM CARDIOVASCULAR AND THORACIC SERVICES, INC.
Practice address
12255 De Paul Dr
Suite 445
Bridgeton, MO 63044-2510
Phone
(314) 647-8269
NPI assigned
Apr 4, 2008
Last updated
Apr 4, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SSM CARDIOVASCULAR AND THORACIC SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Mr. Mark Renken
Title
Vice President
Phone
(314) 989-2160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

12255 De Paul Dr
Suite 445
Bridgeton, MO 63044-2510

Mailing address

1035 Bellevue Ave
Suite 502
Saint Louis, MO 63117-1854
Phone (314) 647-8269

National Provider Directory

National Provider Directory
Tax ID family
SSM Cardiovascular and Thoracic Services Inc3 organizations share this tax ID, including this one
Part of
SSM Cardiovascular and Thoracic Services Inc

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1952574469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 BELLEVUE AVE",
            "address_2": "SUITE 502",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171854",
            "telephone_number": "314-647-8269",
            "fax_number": "314-646-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12255 DE PAUL DR",
            "address_2": "SUITE 445",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442510",
            "telephone_number": "314-647-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM CARDIOVASCULAR AND THORACIC SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSM CARDIOVASCULAR AND THORACIC SERVICES, INC.",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "RENKEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "314-989-2160",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.