Organization · Type 2 NPI

SSM Health Care St. Louis

Cardiovascular Disease Physician · Bridgeton, MO

NPI number 1376598599 Active

Practice location

12303 De Paul Dr
Bridgeton, MO 63044-2512

Call (314) 344-6000 Map

Fax (314) 344-6840

Mailing address

1145 Corporate Lake Dr
St. Louis, MO 63132-2907

Other practice locations

12277 Depaul Dr., Bridgeton, MO 63044-2512 · (314) 344-7979

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed
Pulmonary Disease Physician	207RP1001X	None listed
Neonatal-Perinatal Medicine Physician	2080N0001X	None listed
Neurology Physician	2084N0400X	None listed
Trauma Surgery Physician	2086S0127X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

174 other providers at this address

Other cardiovascular disease physician providers in Bridgeton

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NPI record

NPI: 1376598599
Entity type: Organization (Type 2)
Issued: May 24, 2006
Last updated: Jun 2, 2026
Status: Active

Other names

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SSM Health Depaul Hospital · doing business as
SSM Health Depaul Hospital · doing business as

Authorized official

Karen Rewerts
VP Finance
(314) 344-6000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376598599

SSM Health Care St. Louis's National Provider Identifier is 1376598599, issued on May 24, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Bridgeton, MO. The record was last updated on Jun 2, 2026.