SSM MEDICAL GROUP DBA JOSEPH C. RUDOLPH, M.D.
NPI 1770789984
Clinic/Center - Multi-Specialty in Fenton, MO
NPI Status: Active since June 25, 2007
Contact Information
1747 SMIZER STATION RD
SUITE 6
FENTON, MO
ZIP 63026
Phone: (636) 225-7908
Fax: (636) 225-7497
- Organization
- Clinic/Center
- Multi-Specialty
About SSM MEDICAL GROUP DBA JOSEPH C. RUDOLPH, M.D.
This page provides the complete NPI Profile along with additional information for Ssm Medical Group Dba Joseph C. Rudolph, M.d., a provider established in Fenton, Missouri operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1770789984 assigned on June 2007. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Ssm Medical Group Dba Joseph C. Rudolph, M.d.. The authorized official of this NPI record is Mrs. Deborah B. Reichardt (Office Manager)
- NPI
- 1770789984
- Provider Legal Name
- SSM MEDICAL GROUP
- Other Organization Name
- SSM MEDICAL GROUP DBA JOSEPH C. RUDOLPH, M.D.
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1747 SMIZER STATION RD SUITE 6 FENTON, MO 63026
- Location Phone
- (636) 225-7908
- Location Fax
- (636) 225-7497
- Mailing Address
- 1747 SMIZER STATION RD SUITE 6 FENTON, MO 63026
- Mailing Phone
- (636) 225-7908
- Mailing Fax
- (636) 225-7497
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-25-2007
- Last Update Date
- 08-22-2020
- Code Navigator
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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1376561464 | OTHER (01) | MO | INDIVIDUAL NPI |
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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 1770789984, we treat the final digit (4) 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).
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 76 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
FENTON, MO 63026
FENTON, MO 63026
FENTON, MO 63026
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770789984, enumerated as an "organization" on June 25, 2007.
The provider is located at 1747 SMIZER STATION RD SUITE 6 FENTON, MO 63026 and the phone number is (636) 225-7908.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
