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

SSM Medical Group Inc

Organization Orthopaedic Surgery Physician · NPI 1053616110

SSM Medical Group Inc is an Orthopaedic Surgery Physician in Bridgeton, Missouri. Licensed in Missouri. Registered with an NPI since 2011.

Licensed in
MO
In the registry since
2011
Specialties on file
2
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

12349 De Paul Dr Ste 100
Bridgeton, MO 63044
Phone: (314) 291-3399
Fax: (314) 291-3466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X (MO)

Record details

NPI number1053616110
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSSM Medical Group Inc
Authorized official Karen Rewerts — Vp Financial Operations · (314) 989-2034
Other names Ssm Health Medical Group; Ssm Health Medical Group
NPI enumeratedJanuary 21, 2011
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020
Mailing address3221 McKelvey Rd Ste 301, Bridgeton, MO 63044-2551

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