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

SSM Depaul Medical Group, Inc

Organization Family Medicine Physician · NPI 1952312951

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

In the registry since
2006
Specialties on file
3
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

14021 New Halls Ferry Rd
Florissant, MO 63033-2708
Phone: (314) 839-0910
Fax: (314) 839-9053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X
Podiatrist Taxonomy 213E00000X

Record details

NPI number1952312951
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSSM Depaul Medical Group
Authorized official Laura Pullum — Director Of Patient Accounts · (636) 669-2434
Other names Depaul Medical Group At Cross Keys
NPI enumeratedAugust 11, 2006
Last updated in NPPESNovember 18, 2010
Mailing address1551 Wall St, Suite 310, Saint Charles, MO 63303-3541

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