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SSM MEDICAL GROUP DBA JOSEPH C. RUDOLPH, M.D.
NPI 1770789984
Clinic/Center - Multi-Specialty in Fenton, MO

Active since June 25, 2007
1747 SMIZER STATION RD, SUITE 6, FENTON, MO 63026(636) 225-7908(636) 225-7497 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ssm Medical Group Dba Joseph C. Rudolph, M.d. NPPES

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

SSM MEDICAL GROUP DBA JOSEPH C. RUDOLPH, M.D. (NPI 1770789984) is a healthcare organization registered as a multi-specialty in Fenton, Missouri and active in the NPI registry since June 2007. The organization lists Deborah B. Reichardt, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1770789984
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSSM MEDICAL GROUP
Location Address1747 SMIZER STATION RD, SUITE 6Fenton, MO 63026-2784
Mailing Address1747 Smizer Station Rd, Suite 6Fenton, MO 63026-2784 · (636) 225-7908 · Fax (636) 225-7497
Phone(636) 225-7908
Fax(636) 225-7497
Organization SubpartNo
Authorized OfficialDeborah B. ReichardtOffice Manager · (636) 225-7908
Enumeration DateJune 25, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1770789984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1747 SMIZER STATION RD, Fenton, MO 63026
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Other Names 1

Doing Business AsSsm Medical Group Dba Joseph C. Rudolph, M.d.

Other Identifiers 1

Other1376561464MO · Individual Npi

Other Providers at the Same Location NPPES 10

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

SAINT LOUIS UNIVERSITY DBA MARK HERBERS, M.D.
Pediatrics
1747 SMIZER STATION RD, SUITE 6
FENTON, MO 63026
St. Louis County (636) 225-7908
ROCKWOOD FAMILY MEDICINE LLC
Family Medicine
1747 SMIZER STATION RD, SUITE 3B
FENTON, MO 63026
St. Louis County (636) 529-9595
CHIROPRACTIC WELLNESS CENTER OF ST LOUIS LLC
Clinic/Center (Health Service)
1747 SMIZER STATION RD, STE. 4
FENTON, MO 63026
St. Louis County (636) 825-6555
METRO FOOT SPECIALISTS, LLC
Durable Medical Equipment & Medical Supplies
1747 SMIZER STATION RD, SUITE 3A
FENTON, MO 63026
St. Louis County (636) 938-5006
FENTON FAMILY PRACTICE, LLC
Specialist
1747 SMIZER STATION RD, SUITE 5
FENTON, MO 63026
St. Louis County (636) 529-7000
BRENDA LYNN BUCKLEY M.D.
Family Medicine
1747 SMIZER STATION RD, SUITE 5
FENTON, MO 63026
St. Louis County (636) 529-7000
CHIROPRACTIC WELLNESS CENTER
Chiropractor
1747 SMIZER STATION RD
FENTON, MO 63026
St. Louis County (636) 825-6555
DR. LORENELLE LOFQUIST D.C.
Chiropractor
1747 SMIZER STATION RD, STE 4
FENTON, MO 63026
St. Louis County (636) 825-6555

Frequently Asked Questions

What is SSM MEDICAL GROUP's NPI number?

The NPI number assigned to this healthcare provider is 1770789984, enumerated as an "organization" on June 25, 2007.

Where is the provider located?

The provider is located at 1747 SMIZER STATION RD SUITE 6 FENTON, MO 63026 and the phone number is (636) 225-7908.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

What insurance does SSM MEDICAL GROUP accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.