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SSM DEPAUL HEALTH CENTER NPI 1093155905


NPI Information

NPI: 1093155905
Provider Name: SSM DEPAUL HEALTH CENTER
Classification: Assistant, Podiatric - 211D00000X
Entity Type: Organization

CLIA Number: 26D1095502

Address:
12303 DE PAUL DR
BRIDGETON, MO
ZIP 63044
Phone: (314) 334-6971
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SSM DEPAUL HEALTH CENTER is an assistant podiatric in Bridgeton, MO. The provider is an individual who assists a podiatrist in tasks, such as exposing and developing x-rays; taking and recording patient histories; assisting in biomechanical evaluations and negative castings; preparing and sterilizing instruments and equipment; providing the patient with postoperative instructions; applying surgical dressings; preparing the patient for treatment, padding, and strapping; and performing routine office procedures. SSM DEPAUL HEALTH CENTER NPI is 1093155905. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12303 DE PAUL DR
BRIDGETON, MO
ZIP 63044-512
Phone: (314) 334-6971

The provider's authorized official is Jay Moore .
The authorized official title is Vice President Of Academic Affairs and has the following contact phone number (314) 334-6971.

The CLIA number assigned to this NPI record is 26D1095502 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2013 and was last updated on 6/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1211D00000XAssistant, PodiatricYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.