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SSM DEPAUL MEDICAL GROUP
NPI 1891123477
Podiatrist in Saint Charles, MO

Active since October 17, 2013
1551 WALL ST, SUITE 400, SAINT CHARLES, MO 63303(636) 669-2420(636) 669-2401 Get Directions Write a Review

NPPES record last updated: October 17, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ssm Depaul Medical Group NPPES

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

SSM DEPAUL MEDICAL GROUP (NPI 1891123477) is a healthcare organization registered as a podiatrist in Saint Charles, Missouri and active in the NPI registry since October 2013. The organization lists Laura Pullum, Director, as its authorized official.

NPPES Registry Identity

NPI1891123477
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameSSM DEPAUL MEDICAL GROUP
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) 669-2420
Fax(636) 669-2401
Organization SubpartNo
Authorized OfficialLaura PullumDirector · (636) 669-2434
Enumeration DateOctober 17, 2013
✔ NPI 1891123477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MO · 2004019662
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
1551 WALL ST, Saint Charles, MO 63303
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Other Identifiers 1

Medicare PIN000013572MO

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 Depaul Medical Group's NPI number?

The NPI number for Ssm Depaul Medical Group is 1891123477. It was assigned to this organization in the NPPES registry on October 17, 2013.

Where is Ssm Depaul Medical Group located?

Ssm Depaul Medical Group is located at 1551 Wall St Suite 400, Saint Charles, MO 63303. The listed phone number is (636) 669-2420.

What is Ssm Depaul Medical Group's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Ssm Depaul Medical Group was last updated on October 17, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.