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SIGNATURE MEDICAL GROUP, INC
NPI 1649201864
Durable Medical Equipment & Medical Supplies in Saint Louis, MO

Active since July 05, 2006
12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128(314) 849-0311(314) 849-4423 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2024, Aug 1, 2024 (2 updates tracked since 2024).

About Signature Medical Group, Inc NPPES

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

SIGNATURE MEDICAL GROUP, INC (NPI 1649201864) is a healthcare organization registered as a durable medical equipment & medical supplies in Saint Louis, Missouri and active in the NPI registry since July 2006. The organization lists Chad Sackman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649201864
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSIGNATURE MEDICAL GROUP, INC
Location Address12639 OLD TESSON RD, SUITE 115Saint Louis, MO 63128-2786
Mailing Address12639 Old Tesson Rd, Suite 115Saint Louis, MO 63128-2786 · (314) 849-0311 · Fax (314) 849-4423
Phone(314) 849-0311
Fax(314) 849-4423
Organization SubpartNo
Authorized OfficialChad SackmanCeo · (314) 849-0311
Enumeration DateJuly 5, 2006
Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1649201864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
12639 OLD TESSON RD, Saint Louis, MO 63128
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Other Identifiers 1

Medicaid621357706MO

Other Providers at the Same Location NPPES 20

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

MRS. LOUISE M HILDEBOLT PA-C
Physician Assistant
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
St. Louis County (314) 849-0311
NATHANAEL OLSON
Orthopaedic Surgery (Hand Surgery)
12639 OLD TESSON RD
SAINT LOUIS, MO 63128
St. Louis County (314) 849-0311
BRIAN ANTHONY FISSEL M.D.
Orthopaedic Surgery
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
St. Louis County (314) 849-0311
MRS. THERESA A BOXDORFER FNP
Nurse Practitioner (Family)
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
St. Louis County (314) 849-0311
DR. DENNIS A DUSEK M.D.
Orthopaedic Surgery
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
St. Louis County (314) 849-0311
OLD TESSON SURGERY CENTER, L.P.
Clinic/Center (Ambulatory Surgical)
12639 OLD TESSON RD, STE 130
SAINT LOUIS, MO 63128
St. Louis County (314) 729-0785
MEDICAL IMPLANT SLOUTIONS, LLC
Durable Medical Equipment & Medical Supplies
12639 OLD TESSON RD, 116
SAINT LOUIS, MO 63128
St. Louis County (303) 840-2388
MRS. MOLLY KAY CRAWFORD OT
Occupational Therapist
12639 OLD TESSON RD, SUITE 120
SAINT LOUIS, MO 63128
St. Louis County (314) 842-3968

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 Signature Medical Group, Inc's NPI number?

The NPI number for Signature Medical Group, Inc is 1649201864. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Signature Medical Group, Inc located?

Signature Medical Group, Inc is located at 12639 Old Tesson Rd Suite 115, Saint Louis, MO 63128. The listed phone number is (314) 849-0311.

What is Signature Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Signature Medical Group, Inc was last updated on August 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.