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

SSM Depaul Medical Group, Inc

Organization Cardiovascular Disease Physician · NPI 1073880480

SSM Depaul Medical Group, Inc is a Cardiovascular Disease Physician in Louisiana, Missouri. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2305 Georgia St
Louisiana, MO 63353-2559
Phone: (314) 291-0846
Fax: (573) 754-6056
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1073880480
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Pullum — Billing Manager · (636) 669-2434
Other names Ssm Health Medical Group
NPI enumeratedNovember 30, 2011
Last updated in NPPESJanuary 15, 2016
Mailing address1551 Wall St, Suite 310, Saint Charles, MO 63303-3539