SSM HEALTH MEDICAL GROUP
NPI 1285741629
Internal Medicine in Troy, MO

NPI Status: Active since August 23, 2006

Contact Information

172 PROFESSIONAL PARKWAY
TROY, MO
ZIP 63379
Phone: (636) 462-6106
Fax: (636) 669-2401

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  • Organization
  • Internal Medicine

About SSM HEALTH MEDICAL GROUP

Ssm Health Medical Group is an internist established in Troy, Missouri operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1285741629 assigned on August 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Ssm Health Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Ssm Health Medical Group. The authorized official of this NPI record is Ms. Laura Pullum (Billing Manager)

NPI
1285741629
Provider Legal Name
SSM ST. CHARLES CLINIC MEDICAL GROUP, INC.
Other Organization Name
SSM HEALTH MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
172 PROFESSIONAL PARKWAY TROY, MO 63379
Location Phone
(636) 462-6106
Location Fax
(636) 669-2401
Mailing Address
1551 WALL ST SUITE 310 SAINT CHARLES, MO 63303
Mailing Phone
(636) 669-2268
Mailing Fax
(636) 669-2401
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
08-23-2006
Last Update Date
01-15-2016
Code Navigator

An internist like Ssm Health Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

R9286 (MO)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. LAURA PULLUM

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(636) 669-2434

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
501887806MEDICAID (05)MO 
000013759MEDICARE PIN (08)MO 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285741629
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165144264
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 4 + 4 + 2 + 6 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1285741629 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487615241DR. RODRIGO G GOH M.D.
Individual
Internal Medicine (Cardiovascular Disease)172 PROFESSIONAL PARKWAY PO BOX A
TROY, MO 63379
(636) 462-6106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285741629, enumerated in the NPI registry as an "organization" on August 23, 2006

The provider is located at 172 Professional Parkway Troy, Mo 63379 and the phone number is (636) 462-6106

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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