Organization · Type 2 NPI

SSM Health Care ST Louis

Emergency Medicine Physician · Fenton, MO

NPI number 1275586174 Active

Practice location

1015 Bowles Avenue
Fenton, MO 63026

Mailing address

12800 Corporate Hill Dr
St. Louis, MO 63131-1833

Other practice locations

  • 1011 Bowles Ave, Fenton, MO 63026-2395 · (557) 203-1486
  • 1296 Jeffco Blvd Ste B, Arnold, MO 63010-2138 · (636) 321-8604

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000XNone listed
Cardiovascular Disease Physician 207RC0000XNone listed
Vascular Surgery Physician 2086S0129XNone listed

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

Other emergency medicine physician providers in Fenton

See all in Fenton →

About NPI 1275586174

SSM Health Care ST Louis's National Provider Identifier is 1275586174, issued on May 19, 2006. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Fenton, MO. The record was last updated on Jun 2, 2026.