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SSM HEALTH MEDICAL GROUP
NPI 1194736116
Durable Medical Equipment & Medical Supplies in Florissant, MO

Active since August 11, 2006CLIA 26D1106226 · Microscopy
1120 SHACKELFORD RD, FLORISSANT, MO 63031(314) 921-4420(314) 921-6086 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2020, Oct 19, 2018, Jul 18, 2018 and 1 more (4 updates tracked since 2015).

About Ssm Health Medical Group NPPES

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

SSM HEALTH MEDICAL GROUP (NPI 1194736116) is a healthcare organization registered as a durable medical equipment & medical supplies in Florissant, Missouri and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through October 6, 2027 and lists Karen Rewerts, Vp Financial Operations, as its authorized official.

NPPES Registry Identity

NPI1194736116
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSSM MEDICAL GROUP, INC.
Location Address1120 SHACKELFORD RDFlorissant, MO 63031
Mailing AddressPo Box 955534Saint Louis, MO 63195-5534
Phone(314) 921-4420
Fax(314) 921-6086
Organization SubpartNo
Authorized OfficialKaren RewertsVp Financial Operations · (314) 989-2034
Enumeration DateAugust 11, 2006
Last NPPES UpdateAugust 18, 20204 updates tracked since enumeration
NPPES CertifiedAugust 18, 2020
✔ NPI 1194736116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
1120 SHACKELFORD RD, Florissant, MO 63031
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Other Names 1

Doing Business AsSsm Health Medical Group

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

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 for Provider-Performed Microscopy Procedures (PPMP) 26D1106226

Ssm Medical Group North County · Florissant, MO
Active · expires Oct 6, 2027
CLIA Number26D1106226
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorCaroline A. Werner
Laboratory Phone(314) 921-4420
Laboratory LocationSsm Medical Group North County1120 Shackelford Road, Florissant, MO 63031
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 15

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

MADDISON BAKER PA-C
Physician Assistant
1120 SHACKELFORD RD
FLORISSANT, MO 63031
St. Louis County (314) 921-4420
DR. FRANCISCO J GARRIGA M.D.
Internal Medicine (Rheumatology)
1120 SHACKELFORD RD
FLORISSANT, MO 63031
St. Louis County (314) 921-4420
ROSEMARY GAERTNER NP
Nurse Practitioner (Family)
1120 SHACKELFORD RD
FLORISSANT, MO 63031
St. Louis County (314) 921-4420
DR. JUAN M ALVAREZ M.D.
Internal Medicine
1120 SHACKELFORD RD
FLORISSANT, MO 63031
St. Louis County (314) 921-4420
DR. CAMI LYNN WATKINS M.D.
Internal Medicine
1120 SHACKELFORD RD
FLORISSANT, MO 63031
St. Louis County (314) 291-4420
CODY ADAM STIEGLITZ
Physician Assistant
1120 SHACKELFORD RD
FLORISSANT, MO 63031
St. Louis County (314) 921-4420
DR. KRISTIN LEIGH WHEELER M.D.
Obstetrics & Gynecology
1120 SHACKELFORD RD
FLORISSANT, MO 63031
St. Louis County (314) 921-4420
MEHWISH A MUFTI MD
Family Medicine
1120 SHACKELFORD RD
FLORISSANT, MO 63031
St. Louis County (314) 921-4420

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, Inc.'s NPI number?

The NPI number for Ssm Medical Group, Inc. is 1194736116. It was assigned to this organization in the NPPES registry on August 11, 2006. The provider is doing business as Ssm Health Medical Group.

Where is Ssm Medical Group, Inc. located?

Ssm Medical Group, Inc. is located at 1120 Shackelford Rd, Florissant, MO 63031. The listed phone number is (314) 921-4420.

What is Ssm Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Ssm Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D1106226) is associated with this NPI, valid through October 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ssm Medical Group, Inc. was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.