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SSM HEALTH MEDICAL GROUP- PEDIATRICS
NPI 1336350214
Pediatrics in Mexico, MO

Active since May 24, 2007CLIA 26D0714974 · Waiver
3626 S CLARK ST, SUITE A, MEXICO, MO 65265(573) 581-7366(573) 581-7422 Get Directions Write a Review

NPPES record last updated: September 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2018, Sep 13, 2016 (2 updates tracked since 2016).

About Ssm Health Medical Group- Pediatrics NPPES

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

SSM HEALTH MEDICAL GROUP- PEDIATRICS (NPI 1336350214) is a healthcare organization registered as a pediatrics in Mexico, Missouri and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through November 30, 2027 and lists James T Stratton, Regional Cfo, as its authorized official.

NPPES Registry Identity

NPI1336350214
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSSM AUDRAIN HEALTH CARE, INC.
Location Address3626 S CLARK ST, SUITE AMexico, MO 65265-4104
Mailing Address1001 Southwest Blvd Ste AJefferson City, MO 65109-2501 · (573) 681-3000 · Fax (573) 761-6947
Phone(573) 581-7366
Fax(573) 581-7422
Organization SubpartNo
Authorized OfficialJames T StrattonRegional Cfo · (573) 681-3129
Enumeration DateMay 24, 2007
Last NPPES UpdateSeptember 17, 20182 updates tracked since enumeration
✔ NPI 1336350214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3626 S CLARK ST, Mexico, MO 65265
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Other Names 1

Doing Business AsSsm Health Medical Group- Pediatrics

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 of Waiver 26D0714974

Ssm Health Medical Group Pediatrics · Jefferson City, MO
Active · expires Nov 30, 2027
CLIA Number26D0714974
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorOlga Brea Pena
Laboratory Phone(573) 761-7210
Laboratory LocationSsm Health Medical Group Pediatrics3348 American Drive, Jefferson City, MO 65109
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 3

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

DR. SIMON JOHN MCKEOWN M.D.
Family Medicine
3626 S CLARK ST
MEXICO, MO 65265
Audrain County (573) 581-1812
DAWN SCHUETTE
Nurse Practitioner (Family)
3626 S CLARK ST, SUITE C
MEXICO, MO 65265
Audrain County (573) 582-0850
DR. AHMAD H MURAYWID M.D.
Pediatrics
3626 S CLARK ST, SUITE A
MEXICO, MO 65265
Audrain County (573) 581-7366

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 Audrain Health Care, Inc.'s NPI number?

The NPI number for Ssm Audrain Health Care, Inc. is 1336350214. It was assigned to this organization in the NPPES registry on May 24, 2007. The provider is doing business as Ssm Health Medical Group- Pediatrics.

Where is Ssm Audrain Health Care, Inc. located?

Ssm Audrain Health Care, Inc. is located at 3626 S Clark St Suite A, Mexico, MO 65265. The listed phone number is (573) 581-7366.

What is Ssm Audrain Health Care, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Ssm Audrain Health Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0714974) is associated with this NPI, valid through November 30, 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 Audrain Health Care, Inc. was last updated on September 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.