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

SSM St Charles Clinic Medical Group, Inc

Organization Family Medicine Physician · NPI 1285741629

SSM St Charles Clinic Medical Group, Inc is a Family Medicine Physician in Troy, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

172 Professional Pkwy
Troy, MO 63379-1520
Phone: (636) 462-6106
Fax: (636) 669-2401
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence R9286 (MO)

Record details

NPI number1285741629
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Pullum — Billing Manager · (636) 669-2434
Other names Ssm Health Medical Group
NPI enumeratedAugust 23, 2006
Last updated in NPPESJanuary 15, 2016
Mailing address1551 Wall St, Suite 310, Saint Charles, MO 63303-3539

Other providers in Troy