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Organization

Ssm Health Care St Louis

NPI Record: ActiveEmergency Medicine
NPI1275586174
Fenton, Missouri

Provider's NPPES record last updated: June 2, 2026

Overview

Entity Type
Organization
NPI
1275586174
Primary Specialty
Emergency Medicine
Practice Location
Fenton, Missouri
Organization Subpart
Yes
Parent Organization
Ssm Health Care St. Louis

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 3:03 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Emergency Medicine

    Allopathic & Osteopathic Physicians

    Primary

    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

    Taxonomy code 207P00000X
  • Internal Medicine

    Cardiovascular Disease

    Allopathic & Osteopathic Physicians

    An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

    Taxonomy code 207RC0000X
  • Surgery

    Vascular Surgery

    Allopathic & Osteopathic Physicians

    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

    Taxonomy code 2086S0129X

Practice Locations

Practice Location

1015 Bowles Avenue

Fenton, Missouri 63026

Phone: (636) 496-2502

Additional Practice Location

1011 Bowles Ave

Fenton, Missouri 63026-2395

Phone: (557) 203-1486

Fax: (314) 344-7239

Additional Practice Location

1296 Jeffco Blvd Ste B

Arnold, Missouri 63010-2138

Phone: (636) 321-8604

Fax: (314) 344-7281

Other Names

  • Ssm Health St Clare FentonReported March 26, 2026
  • Ssm Health St Clare HospitalReported March 26, 2026
  • Ssm Health St. Clare Hospital Physician BillingReported March 26, 2026
  • Ssm Health St. Clare Hospital Physician BillingReported December 4, 2015

Record Information

Enumeration Date
May 19, 2006
Provider's NPPES Record Last Updated
June 2, 2026
Certification Date
June 2, 2026
NPISignal NPPES Dataset
August 2026

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