SSM HEALTH CANCER CARE
NPI 1487963179
Internal Medicine - Hematology & Oncology in Lake Saint Louis, MO
NPI Status: Active since September 29, 2010
Contact Information
400 MEDICAL PLZ
SUITE 100
LAKE SAINT LOUIS, MO
ZIP 63367
Phone: (636) 639-8600
Fax: (636) 639-8676
- Organization
- Internal Medicine
- Hematology & Oncology
- CLIA Number: 26D0696116
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-22-2025
About SSM HEALTH CANCER CARE
This page provides the complete NPI Profile along with additional information for Ssm Health Cancer Care, an internist established in Lake Saint Louis, Missouri operating as a Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1487963179 assigned on September 2010. The practitioner's primary taxonomy code is 207RH0003X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Ssm Health Cancer Care operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Ssm Health Cancer Care. The authorized official of this NPI record is Mr. Ellis Hawkins (President)
- NPI
- 1487963179
- Provider Legal Name
- SSM CANCER CARE, INC
- Other Organization Name
- SSM HEALTH CANCER CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 400 MEDICAL PLZ SUITE 100 LAKE SAINT LOUIS, MO 63367
- Location Phone
- (636) 639-8600
- Location Fax
- (636) 639-8676
- Mailing Address
- 400 MEDICAL PLZ SUITE 100 LAKE SAINT LOUIS, MO 63367
- Mailing Phone
- (636) 639-8600
- Mailing Fax
- (636) 639-8676
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-29-2010
- Last Update Date
- 01-25-2016
- Code Navigator
An internist like Ssm Health Cancer Care 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.
Location Map
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 Hematology & Oncology
- Taxonomy Code
- 207RH0003X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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) |
|---|---|---|---|---|
| 1 | 2085R0001X | Allopathic & Osteopathic Physicians | Radiology |
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D0696116
- Facility Type
- Physician Office
- Certificate Effective Date
- December 23, 2023
- Certificate Expiration Date
- December 22, 2025
- Laboratory Director
- DR. CHRISTIANE ZOGHBI
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Ssm Health Cancer Care on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1487963179, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
LAKE ST LOUIS, MO 63367
LAKE ST LOUIS, MO 63367
LAKE ST LOUIS, MO 63367
LAKE ST LOUIS, MO 63367
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487963179, enumerated as an "organization" on September 29, 2010.
The provider is located at 400 MEDICAL PLZ SUITE 100 LAKE SAINT LOUIS, MO 63367 and the phone number is (636) 639-8600.
Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.
