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DEPAUL MEDICAL GROUP AT ST. CHARLES
NPI 1639180631
Family Medicine in Saint Charles, MO

Active since August 11, 2006
1821 SHERMAN DR, SAINT CHARLES, MO 63303(636) 949-8026(636) 949-5629 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Depaul Medical Group At St. Charles NPPES

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

DEPAUL MEDICAL GROUP AT ST. CHARLES (NPI 1639180631) is a healthcare organization registered as a family medicine in Saint Charles, Missouri and active in the NPI registry since August 2006. The organization lists Laura Lynn Pullum, Director Of Patient Accounts, as its authorized official.

NPPES Registry Identity

NPI1639180631
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSSM DEPAUL MEDICAL GROUP, INC.
Location Address1821 SHERMAN DRSaint Charles, MO 63303-3984
Mailing Address1821 Sherman DrSaint Charles, MO 63303-3984 · (636) 949-8026 · Fax (636) 949-5629
Phone(636) 949-8026
Fax(636) 949-5629
Organization SubpartNo
Authorized OfficialLaura Lynn PullumDirector Of Patient Accounts · (314) 209-8121
Enumeration DateAugust 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639180631 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.
1821 SHERMAN DR, Saint Charles, MO 63303
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Other Names 1

Doing Business AsDepaul Medical Group At St. Charles

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

MS. DIANE ELAINE MITCHELL-SCOTT LPC
Counselor (Professional)
1821 SHERMAN DR
SAINT CHARLES, MO 63303
St. Charles County (636) 634-6270

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 Depaul Medical Group, Inc.'s NPI number?

The NPI number for Ssm Depaul Medical Group, Inc. is 1639180631. It was assigned to this organization in the NPPES registry on August 11, 2006. The provider is doing business as Depaul Medical Group At St. Charles.

Where is Ssm Depaul Medical Group, Inc. located?

Ssm Depaul Medical Group, Inc. is located at 1821 Sherman Dr, Saint Charles, MO 63303. The listed phone number is (636) 949-8026.

What is Ssm Depaul 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 Depaul Medical Group, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.