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SUBURBAN WEST INTERNAL MEDICINE
NPI 1023218898
Internal Medicine in Fenton, MO

Active since July 20, 2007CLIA Certified · 3 labs
1011 BOWLES AVE, SUITE 300, FENTON, MO 63026(636) 496-5000(636) 496-5045 Get Directions Write a Review

NPPES record last updated: July 8, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Suburban West Internal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUBURBAN WEST INTERNAL MEDICINE (NPI 1023218898) is a healthcare organization registered as an internal medicine in Fenton, Missouri and active in the NPI registry since July 2007. The organization holds 3 active CLIA laboratory certificates and lists James E Bieser, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1023218898
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSSM MEDICAL GROUP
Location Address1011 BOWLES AVE, SUITE 300Fenton, MO 63026-2387
Mailing Address1011 Bowles Ave, Suite 300Fenton, MO 63026-2387 · (636) 496-5000 · Fax (636) 496-5045
Phone(636) 496-5000
Fax(636) 496-5045
Organization SubpartNo
Authorized OfficialJames E BieserExecutive Director · (314) 822-5900
Enumeration DateJuly 20, 2007
Last NPPES UpdateJuly 8, 2009
✔ NPI 1023218898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
1011 BOWLES AVE, Fenton, MO 63026
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Other Names 1

Doing Business AsSuburban West Internal Medicine

Other Identifiers 1

Medicare PIN990001373MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0699908

Ssm Medical Group Specialties · Fenton, MO
Active · expires May 20, 2028
CLIA Number26D0699908
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorPatricia Hodgins
Laboratory Phone(636) 496-5080
Laboratory LocationSsm Medical Group Specialties1011 Bowles Ave, Ste 425, Fenton, MO 63026
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D0672523

Ssm Medical Group St Clare Pediatrics · Fenton, MO
Active · expires May 31, 2027
CLIA Number26D0672523
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorSantiago Plurad
Laboratory Phone(636) 496-5000
Laboratory LocationSsm Medical Group St Clare Pediatrics1345 Smizer Mill Road, Suite 1200, Fenton, MO 63026
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D0974021

Ssm Medical Group - Smizer · Fenton, MO
Active · expires May 24, 2028
CLIA Number26D0974021
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2026
Certificate Expiration DateMay 24, 2028
Laboratory DirectorSusan Davis
Laboratory Phone(636) 496-5050
Laboratory LocationSsm Medical Group - Smizer1345 Smizer Mll Road Suite 1100, Fenton, MO 63026
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAWRENCE VINCENT BOVERI MD
Obstetrics & Gynecology
1011 BOWLES AVE, SUITE 215
FENTON, MO 63026
St. Louis County (636) 680-1960
CENTER FOR ADVANCED FOOT & ANKLE SURGERY, INC.
Durable Medical Equipment & Medical Supplies
1011 BOWLES AVE, SUITE 123
FENTON, MO 63026
St. Louis County (314) 991-3668
MS. LITA LAPINS FNP
Nurse Practitioner (Family)
1011 BOWLES AVE, SUITE 300
FENTON, MO 63026
St. Louis County (314) 238-9100
ALLISON KATE BROWN FNP
Nurse Practitioner (Family)
1011 BOWLES AVE
FENTON, MO 63026
St. Louis County (314) 200-2713
MS. DENISE P BLACKBURN APRN, FNP-BC
Nurse Practitioner (Family)
1011 BOWLES AVE, SUITE G10
FENTON, MO 63026
St. Louis County (314) 965-9980
LAWRENCE G EVANS MD LLC
Orthopaedic Surgery
1011 BOWLES AVE, SUITE 400
FENTON, MO 63026
St. Louis County (314) 821-4884
MRS. TIFFANY SHANTA HAROLD APRN
Nurse Practitioner (Women's Health)
1011 BOWLES AVE
FENTON, MO 63026
St. Louis County (636) 496-5438
MRS. JENNIFER NOBLE SMITH MSPT, OCS
Physical Therapist
1011 BOWLES AVE, SUITE 150
FENTON, MO 63026
St. Louis County (636) 343-9555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ssm Medical Group's NPI number?

The NPI number for Ssm Medical Group is 1023218898. It was assigned to this organization in the NPPES registry on July 20, 2007. The provider is doing business as Suburban West Internal Medicine.

Where is Ssm Medical Group located?

Ssm Medical Group is located at 1011 Bowles Ave Suite 300, Fenton, MO 63026. The listed phone number is (636) 496-5000.

What is Ssm Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Ssm Medical Group hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Ssm Medical Group was last updated on July 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.