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

SSM Health Care St Louis

Organization Emergency Medicine Physician · NPI 1275586174

SSM Health Care St Louis is an Emergency Medicine Physician in Fenton, Missouri. Works from 3 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
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Practice location Address checks out

1015 Bowles Ave
Fenton, MO 63026
Phone: (636) 496-2502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1296 Jeffco Blvd Ste B, Arnold, MO 63010-2138 — (636) 321-8604
  • 1011 Bowles Ave, Fenton, MO 63026-2395 — (557) 203-1486

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1275586174
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSSM Health Care St Louis
Authorized official Jeremy Fotheringham — Regional President · (636) 496-2000
Other names Ssm Health St Clare Fenton; Ssm Health St Clare Hospital; Ssm Health St. Clare Hospital Physician Billing; Ssm Health St. Clare Hospital Physician Billing
NPI enumeratedMay 19, 2006
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address12800 Corporate Hill Dr, Saint Louis, MO 63131-1833

Other providers in Fenton