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

SSM Health Care St Louis

Organization Emergency Medical Services (Emergency Medicine) Physician · NPI 1538113097

SSM Health Care St Louis is an Emergency Medical Services (Emergency Medicine) Physician in Lake St Louis, Missouri. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
10

Practice location Address checks out

100 Medical Plz
Lake St Louis, MO 63367-1366
Phone: (636) 625-5200
Fax: (636) 625-5314
Show map & directions

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

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X
Pulmonary Disease Physician Taxonomy 207RP1001X
Neurological Surgery Physician Taxonomy 207T00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1538113097
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Rewerts — Vp Finance · (636) 625-5200
Other names Ssm Health St. Joseph Hospital - Lake Saint Louis Physician Billing
NPI enumeratedMay 20, 2006
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address10176 Corporate Square Dr Ste 100b, Attnt: Credentialing Dept., Saint Louis, MO 63132-2924