Organization · Type 2 NPI

SSM Health Care Group

Internal Medicine Physician · St. Louis, MO

NPI number 1306589544 Active

Practice location

1225 South Grand Blvd, 2L - Door 3,4
St. Louis, MO 63104-1016

Call (314) 977-6100 Map

Mailing address

PO Box 954467
St. Louis, MO 63195-4467

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000XNone listed
Dermatology Physician 207N00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician Primary 207R00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Ophthalmology Physician 207W00000XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Otolaryngology Physician 207Y00000XNone listed
Anatomic Pathology & Clinical Pathology Physician 207ZP0102XNone listed
Pediatrics Physician 208000000XNone listed
Neurology Physician 2084N0400XNone listed
Psychiatry Physician 2084P0800XNone listed
Radiation Oncology Physician 2085R0001XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed
Surgery Physician 208600000XNone listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

2 other providers at this address

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About NPI 1306589544

SSM Health Care Group's National Provider Identifier is 1306589544, issued on Apr 15, 2022. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 7, 2026.