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

SSM Medical Group

Organization Multi-Specialty Clinic/Center · NPI 1770789984

SSM Medical Group is a Multi-Specialty Clinic/Center in Fenton, Missouri. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1747 Smizer Station Rd Ste 6
Fenton, MO 63026-2784
Phone: (636) 225-7908
Fax: (636) 225-7497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1770789984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deborah Reichardt — Office Manager · (636) 225-7908
Other names Ssm Medical Group Dba Joseph C. Rudolph, M.D.
NPI enumeratedJune 25, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1747 Smizer Station Rd, Suite 6, Fenton, MO 63026-2784

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