Organization
SSM HEALTH CARE GROUP
Active
Organization
SSM HEALTH CARE GROUP
Active
Other names
SLUCare Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN REWERTS (VICE PRESIDENT - FINANCE)
(557) 203-3614
Entity
Organization
Contact information
Practice address
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4, SAINT LOUIS, MO 63104-1016
(314) 977-6100
Mailing address
PO BOX 954467, SAINT LOUIS, MO 63195-4467
(314) 617-3508
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
04/15/2022
Last updated
01/07/2026
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