Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

SSM Cardinal Glennon Children's Hospital

Organization Pediatrics Physician · NPI 1356412308

SSM Cardinal Glennon Children's Hospital is a Pediatrics Physician in Troy, Missouri. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

132 Professional Pkwy
Troy, MO 63379-2823
Phone: (636) 462-5437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1356412308
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSSM Health Care Corporation
Authorized official Tim Buller — Regional Cfo - Financial Strategy · (314) 989-2173
Other names Ssm Health Cardinal Glennon Pediatrics
NPI enumeratedNovember 13, 2006
Last updated in NPPESJuly 19, 2019
Mailing address1195 Corporate Lake Dr, Saint Louis, MO 63132-1716

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