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

SSM Regional Health Services

Organization Orthopaedic Surgery Physician · NPI 1336555275

SSM Regional Health Services is an Orthopaedic Surgery Physician in Jefferson City, Missouri. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
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Practice location Address checks out

2505 Mission Dr Ste 200
Jefferson City, MO 65109-9508
Phone: (573) 636-9000
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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
Orthopaedic Surgery Physician Taxonomy 207X00000X

Record details

NPI number1336555275
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSSM Regional Health Services
Authorized official Shasta Manuel — Regional Vice President Finance/Cfo · (405) 272-7282
Other names Ssm Health Medical Group; Ssm Health Spine & Pain Management Center; Ssm Health Spine & Pain Management Center
NPI enumeratedJuly 10, 2014
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address7655 Solutions Ctr, Chicago, IL 60677-7006

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