National Provider Identifier Database

SSM HEALTH CARE ST LOUIS
Cardiovascular Disease

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.


Contact Information

SSM HEALTH CARE ST. LOUIS
12303 DE PAUL DR
BRIDGETON, MO63044-2512
Phone: 314-344-6000
Fax: 314-344-6840
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Neonatal-Perinatal Medicine 2080N0001X
Neurology 2084N0400X
Pulmonary Disease 207RP1001X
Trauma Surgery 2086S0127X

* Indicates primary specialty

NPI Profile & details for SSM HEALTH CARE ST. LOUIS

NPI Number 1376598599
Legal business name
LBN
SSM HEALTH CARE ST. LOUIS
Authorized official STEVEN JOHNSON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/24/2006
Last updated 02/14/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: 540494101

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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