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SSMDEPAUL MEDICAL GROUP
NPI 1457660896
Podiatrist - Foot & Ankle Surgery in Saint Charles, MO

Active since October 04, 2010
1551 WALL ST, SUITE 400, SAINT CHARLES, MO 63303(636) 669-2350(636) 669-2221 Get Directions Write a Review

NPPES record last updated: October 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ssmdepaul Medical Group NPPES

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

SSMDEPAUL MEDICAL GROUP (NPI 1457660896) is a healthcare organization registered as a foot & ankle surgery in Saint Charles, Missouri and active in the NPI registry since October 2010. The organization lists Bridget Francis, Credentilaing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1457660896
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSSMDEPAUL MEDICAL GROUP
Location Address1551 WALL ST, SUITE 400Saint Charles, MO 63303-3539
Mailing Address1551 Wall St, Suite 310Saint Charles, MO 63303-3539 · (636) 669-2268 · Fax (314) 209-8127
Phone(636) 669-2350
Fax(636) 669-2221
Organization SubpartYesParent: Ssm Depaul Medical Group
Authorized OfficialBridget FrancisCredentilaing Coordinator · (636) 669-2268
Enumeration DateOctober 4, 2010
✔ NPI 1457660896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Also ListedFamily MedicineTaxonomy 207Q00000X
1551 WALL ST, Saint Charles, MO 63303
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Other Identifiers 2

Medicaid502915705MO
Medicare PIN000013572MO

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

Other Providers at the Same Location NPPES 18

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

ANDREA LYNN MONTGOMERY PT
Physical Therapist
1551 WALL ST
SAINT CHARLES, MO 63303
St. Charles County (636) 947-1666
SHANNON HASELHORST
Physical Therapist
1551 WALL ST, SUITE 110
SAINT CHARLES, MO 63303
St. Charles County (636) 669-2345
LORI M HARTER NP
Nurse Practitioner
1551 WALL ST, SUITE 400
SAINT CHARLES, MO 63303
St. Charles County (636) 669-2350
TYLER NICHOLAS FORBES DPT
Physical Therapist
1551 WALL ST, SUITE 110
SAINT CHARLES, MO 63303
St. Charles County (636) 669-2345
DR. STEPHEN M COMENS M.D.
Internal Medicine (Cardiovascular Disease)
1551 WALL ST, 4TH FLOOR
SAINT CHARLES, MO 63303
St. Charles County (636) 669-2220
DR. NADIRA ADIL M.D.
Pediatrics
1551 WALL ST, 4TH FLOOR
SAINT CHARLES, MO 63303
St. Charles County (636) 669-2443
JOHN R CORNETT II N.P.
Nurse Practitioner (Adult Health)
1551 WALL ST, 4TH FLOOR
SAINT CHARLES, MO 63303
St. Charles County (636) 669-2220
DR. CHALENNA C. CASSELL PSY.D.
Psychologist (Clinical)
1551 WALL ST
SAINT CHARLES, MO 63303
St. Charles County (404) 769-2242

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 Ssmdepaul Medical Group's NPI number?

The NPI number for Ssmdepaul Medical Group is 1457660896. It was assigned to this organization in the NPPES registry on October 4, 2010.

Where is Ssmdepaul Medical Group located?

Ssmdepaul Medical Group is located at 1551 Wall St Suite 400, Saint Charles, MO 63303. The listed phone number is (636) 669-2350.

What is Ssmdepaul Medical Group's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Ssmdepaul Medical Group was last updated on October 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.