SSM HEALTH MEDICAL GROUP
NPI 1811932973
Family Medicine in Saint Charles, MO

Q: What is Ssm St. Charles Clinic Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 20, 2006

1551 WALL ST, SUITE 400, SAINT CHARLES, MO 63303(636) 669-2350(636) 669-2221 Get Directions Write a Review

NPPES record last updated: January 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ssm Health Medical Group NPPES

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

SSM HEALTH MEDICAL GROUP (NPI 1811932973) is a healthcare organization registered as a family medicine in Saint Charles, Missouri and active in the NPI registry since June 2006. The organization lists Laura Pullum, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1811932973

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSSM ST. CHARLES CLINIC MEDICAL GROUP, INC.

Location Address1551 WALL ST, SUITE 400Saint Charles, MO 63303-3539

Mailing Address1551 Wall St, Suite 310Saint Charles, MO 63303-3539 · (636) 669-2268 · Fax (314) 209-8127

Phone(636) 669-2350

Fax(636) 669-2221

Organization SubpartNo

Authorized OfficialLaura PullumBilling Manager · (636) 669-2434

Enumeration DateJune 20, 2006

Last NPPES UpdateJanuary 15, 2016

✔ NPI 1811932973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedSurgeryTaxonomy 208600000X

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X

1551 WALL ST, Saint Charles, MO 63303

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Other Names 1

Doing Business AsSsm Health Medical Group

Other Identifiers 2

Medicaid501133607MO

Medicare PIN000010556MO

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 18

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

ANDREA LYNN MONTGOMERY PT

Physical Therapist

1551 WALL ST
SAINT CHARLES, MO 63303

St. Charles County (636) 947-1666

SHANNON HASELHORST

Physical Therapist

1551 WALL ST, SUITE 110
SAINT CHARLES, MO 63303

St. Charles County (636) 669-2345

LORI M HARTER NP

Nurse Practitioner

1551 WALL ST, SUITE 400
SAINT CHARLES, MO 63303

St. Charles County (636) 669-2350

TYLER NICHOLAS FORBES DPT

Physical Therapist

1551 WALL ST, SUITE 110
SAINT CHARLES, MO 63303

St. Charles County (636) 669-2345

DR. STEPHEN M COMENS M.D.

Internal Medicine (Cardiovascular Disease)

1551 WALL ST, 4TH FLOOR
SAINT CHARLES, MO 63303

St. Charles County (636) 669-2220

DR. NADIRA ADIL M.D.

Pediatrics

1551 WALL ST, 4TH FLOOR
SAINT CHARLES, MO 63303

St. Charles County (636) 669-2443

JOHN R CORNETT II N.P.

Nurse Practitioner (Adult Health)

1551 WALL ST, 4TH FLOOR
SAINT CHARLES, MO 63303

St. Charles County (636) 669-2220

DR. CHALENNA C. CASSELL PSY.D.

Psychologist (Clinical)

1551 WALL ST
SAINT CHARLES, MO 63303

St. Charles County (404) 769-2242

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 St. Charles Clinic Medical Group, Inc.'s NPI number?

The NPI number for Ssm St. Charles Clinic Medical Group, Inc. is 1811932973. It was assigned to this organization in the NPPES registry on June 20, 2006. The provider is doing business as Ssm Health Medical Group.

Where is Ssm St. Charles Clinic Medical Group, Inc. located?

Ssm St. Charles Clinic Medical Group, Inc. is located at 1551 Wall St Suite 400, Saint Charles, MO 63303. The listed phone number is (636) 669-2350.

What is Ssm St. Charles Clinic 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 St. Charles Clinic Medical Group, Inc. was last updated on January 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.