SSM HEALTH MEDICAL GROUP
NPI 1578670949
Family Medicine in Warrenton, MO

Active since August 23, 2006
722 N HIGHWAY 47, SUITE B, WARRENTON, MO 63383(636) 456-3413(636) 669-2401 Get Directions Write a Review

NPPES record last updated: January 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ssm Health Medical Group NPPES

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

SSM HEALTH MEDICAL GROUP (NPI 1578670949) is a healthcare organization registered as a family medicine in Warrenton, Missouri and active in the NPI registry since August 2006. The organization lists Laura Pullum, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1578670949
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSSM ST. CHARLES CLINIC MEDICAL GROUP, INC.
Location Address722 N HIGHWAY 47, SUITE BWarrenton, MO 63383-1108
Mailing Address1551 Wall St, Suite 310Saint Charles, MO 63303-3539 · (636) 669-2268 · Fax (314) 209-8127
Fax(636) 669-2401
Organization SubpartNo
Authorized OfficialLaura PullumBilling Manager · (636) 669-2434
Enumeration DateAugust 23, 2006
Last NPPES UpdateJanuary 15, 2016
NPI 1578670949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
722 N HIGHWAY 47, Warrenton, MO 63383

Other Names 1

Doing Business AsSsm Health Medical Group

Other Identifiers 2

Medicaid501133649MO
Medicare PIN000014824MO

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

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

Nurse Practitioner (Family)
722 N HIGHWAY 47, STE B
WARRENTON, MO 63383

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 St. Charles Clinic Medical Group, Inc.'s NPI number?

The NPI number for Ssm St. Charles Clinic Medical Group, Inc. is 1578670949. It was assigned to this organization in the NPPES registry on August 23, 2006. The provider is doing business as Ssm Health Medical Group.

Where is Ssm St. Charles Clinic Medical Group, Inc. located?

Ssm St. Charles Clinic Medical Group, Inc. is located at 722 N Highway 47 Suite B, Warrenton, MO 63383. The listed phone number is (636) 456-3413.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ssm St. Charles Clinic Medical Group, Inc. was last updated on January 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.