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

SSM Medical Group Inc

Organization Family Medicine Physician · NPI 1548578750

SSM Medical Group Inc is a Family Medicine Physician in O Fallon, Missouri. Licensed in Missouri. Registered with an NPI since 2010.

Licensed in
MO
In the registry since
2010
Specialties on file
6
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

1101 Highway K
O Fallon, MO 63366
Phone: (636) 379-6363
Fax: (636) 379-1297
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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
Family Medicine Physician Taxonomy 207Q00000X (MO)
Internal Medicine Physician Taxonomy 207R00000X (MO)
Rheumatology Physician Taxonomy 207RR0500X (MO)
Obstetrics & Gynecology Physician Taxonomy 207V00000X (MO)
Podiatrist Taxonomy 213E00000X (MO)

Record details

NPI number1548578750
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSSM Medical Group Inc
Authorized official Bridget Eder — Provider Enrollment Specialist · (636) 669-2268
Other names Ssm Health Medical Group
NPI enumeratedSeptember 22, 2010
Last updated in NPPESJuly 16, 2018
Mailing address1551 Wall St, Suite 310, Saint Charles, MO 63303-3541

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