National Provider Identifier Database

SSM DEPAUL MEDICAL GROUP INC
Internal Medicine

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 medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


Contact Information

SSM DEPAUL MEDICAL GROUP, INC.
2024 DORSETT VLG
MARYLAND HEIGHTS, MO63043-2208
Phone: 314-590-0550
Fax: 314-590-0560
Website:
Specialty Taxonomy Code
* Internal Medicine 207R00000X
Family Medicine 207Q00000X
General Practice 208D00000X
Neurological Surgery 207T00000X
Obstetrics & Gynecology 207V00000X
Pediatrics 208000000X
Pulmonary Disease 207RP1001X
Rheumatology 207RR0500X

* Indicates primary specialty

NPI Profile & details for SSM DEPAUL MEDICAL GROUP, INC.

NPI Number 1760456743
Legal business name
LBN
SSM DEPAUL MEDICAL GROUP, INC.
Authorized official LAURA PULLUM - (BILLING MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/15/2006
Last updated 01/15/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: 502915705
  • MO Other: CJ7983 RAILROAD MEDICARE

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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