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

SSM Depaul Medical Group, Inc

Organization Family Medicine Physician · NPI 1760456743

SSM Depaul Medical Group, Inc is a Family Medicine Physician in Maryland Heights, Missouri. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
8
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

2024 Dorsett Vlg
Maryland Heights, MO 63043-2208
Phone: (314) 590-0550
Fax: (314) 590-0560
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Pulmonary Disease Physician Taxonomy 207RP1001X
Rheumatology Physician Taxonomy 207RR0500X
Neurological Surgery Physician Taxonomy 207T00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1760456743
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Pullum — Billing Manager · (636) 669-2434
Other names Ssm Health Medical Group
NPI enumeratedFebruary 15, 2006
Last updated in NPPESJanuary 15, 2016
Mailing address1551 Wall St, Suite 310, Saint Charles, MO 63303-3539

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