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MODERN MEDICAL GROUP INC
NPI 1811752900
Clinic/Center - Multi-Specialty in Saint Louis, MO

Active since February 16, 2024
5139 MATTIS RD STE 102, SAINT LOUIS, MO 63128(314) 396-9517 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Modern Medical Group Inc NPPES

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

MODERN MEDICAL GROUP INC (NPI 1811752900) is a healthcare organization registered as a multi-specialty in Saint Louis, Missouri and active in the NPI registry since February 2024. The organization lists Jesse Wolfe, Owner, as its authorized official.

NPPES Registry Identity

NPI1811752900
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMODERN MEDICAL GROUP INC
Location Address5139 MATTIS RD STE 102Saint Louis, MO 63128-2250
Mailing Address5139 Mattis Rd Ste 102Saint Louis, MO 63128-2250 · (314) 396-9517
Phone(314) 396-9517
Organization SubpartNo
Authorized OfficialJesse WolfeOwner · (314) 396-9517
Enumeration DateFebruary 16, 2024
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1811752900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedClinic/Center · PodiatricTaxonomy 261QP1100X
5139 MATTIS RD STE 102, Saint Louis, MO 63128
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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 3

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

DR. LINDSAY D BARTH DPM
Podiatrist (Foot & Ankle Surgery)
5139 MATTIS RD STE 102
SAINT LOUIS, MO 63128
St. Louis County (314) 909-1920
DR. JESSE RICHARD WOLFE III DPM
Podiatrist (Foot & Ankle Surgery)
5139 MATTIS RD STE 102
SAINT LOUIS, MO 63128
St. Louis County (314) 396-9517
NEXT STEP FOOT AND ANKLE CENTERS, INC.
Non-Pharmacy Dispensing Site
5139 MATTIS RD STE 102
SAINT LOUIS, MO 63128
St. Louis County (314) 909-1920

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 Modern Medical Group Inc's NPI number?

The NPI number for Modern Medical Group Inc is 1811752900. It was assigned to this organization in the NPPES registry on February 16, 2024.

Where is Modern Medical Group Inc located?

Modern Medical Group Inc is located at 5139 Mattis Rd Ste 102, Saint Louis, MO 63128. The listed phone number is (314) 396-9517.

What is Modern Medical Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Modern Medical Group Inc was last updated on January 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.