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SSM DEPAUL HEALTH CENTER
NPI 1093155905
Assistant, Podiatric in Bridgeton, MO

Active since June 25, 2013
12303 DE PAUL DR, BRIDGETON, MO 63044(314) 334-6971 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ssm Depaul Health Center NPPES

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

SSM DEPAUL HEALTH CENTER (NPI 1093155905) is a healthcare organization registered as an assistant, podiatric in Bridgeton, Missouri and active in the NPI registry since June 2013. The organization lists Jay Moore, Vice President Of Academic Affairs, as its authorized official.

NPPES Registry Identity

NPI1093155905
Entity TypeOrganization
Primary Taxonomy211D00000X
Legal Business NameSSM DEPAUL HEALTH CENTER
Location Address12303 DE PAUL DRBridgeton, MO 63044-2512
Mailing Address12303 Depaul DriveBridgeton, MO 63044
Phone(314) 334-6971
Organization SubpartNo
Authorized OfficialJay MooreVice President Of Academic Affairs · (314) 334-6971
Enumeration DateJune 25, 2013
✔ NPI 1093155905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssistant, PodiatricPodiatric Medicine & Surgery Service Providers
Taxonomy Code211D00000X
Definition
An individual who assists a podiatrist in tasks, such as exposing and developing x-rays; taking and recording patient histories; assisting in biomechanical evaluations and negative castings; preparing and sterilizing instruments and equipment; providing the patient with postoperative instructions; applying surgical dressings; preparing the patient for treatment, padding, and strapping; and performing routine office procedures.
12303 DE PAUL DR, Bridgeton, MO 63044
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

ROBERT M FISCHER M.D.
Radiology (Diagnostic Radiology)
12303 DE PAUL DR, RADIOLOGY DEPT
BRIDGETON, MO 63044
St. Louis County (314) 770-9393
REBEKAH CHENG DPT
Physical Therapist
12303 DE PAUL DR
BRIDGETON, MO 63044
St. Louis County (314) 344-6000
SUNEETA V. PARPELLI AGNP
Nurse Practitioner (Adult Health)
12303 DE PAUL DR
BRIDGETON, MO 63044
St. Louis County (314) 317-0600
MURISA MALAGIC
Student in an Organized Health Care Education/Training Program
12303 DE PAUL DR
BRIDGETON, MO 63044
St. Louis County (314) 344-6000
STEPHANIE ROSS PT, DPT
Physical Therapist
12303 DE PAUL DR
BRIDGETON, MO 63044
St. Louis County (314) 344-6000
SOUND PHYSICIANS OF ILLINOIS, LLC
Hospitalist
12303 DE PAUL DR
BRIDGETON, MO 63044
St. Louis County (314) 344-6000
ANNA PRISHCHEPOVA MD
Internal Medicine (Critical Care Medicine)
12303 DE PAUL DR
BRIDGETON, MO 63044
St. Louis County (314) 344-6000
SSM HEALTH CARE ST. LOUIS
Psychiatric Unit
12303 DE PAUL DR
BRIDGETON, MO 63044
St. Louis County (314) 344-6000

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 Depaul Health Center's NPI number?

The NPI number for Ssm Depaul Health Center is 1093155905. It was assigned to this organization in the NPPES registry on June 25, 2013.

Where is Ssm Depaul Health Center located?

Ssm Depaul Health Center is located at 12303 De Paul Dr, Bridgeton, MO 63044. The listed phone number is (314) 334-6971.

What is Ssm Depaul Health Center's specialty?

The primary specialty registered for this NPI is Assistant, Podiatric with taxonomy code 211D00000X.

When was this NPI record last updated?

The NPPES record for Ssm Depaul Health Center was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.