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

SSM Regional Health Services

Organization Pulmonary Disease Physician · NPI 1982137667

SSM Regional Health Services is a Pulmonary Disease Physician in Jefferson City, Missouri. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
4

Practice location Address checks out

2505 Mission Dr Ste 130
Jefferson City, MO 65109-9508
Phone: (573) 681-3585
Fax: (573) 681-3665
Show map & directions

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

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Physical Therapist Taxonomy 225100000X
Physical Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1982137667
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 Medical Group
NPI enumeratedApril 10, 2017
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address7655 Solutions Ctr, Chicago, IL 60677-7006

Other providers in Jefferson City