Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

SSM Depaul Medical Group, Inc

Organization Cardiovascular Disease Physician · NPI 1073880480

SSM Depaul Medical Group, Inc provides Cardiovascular Disease Physician services in Louisiana, Missouri. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2305 Georgia St
Louisiana, MO 63353-2559 Not confirmed with CMS for 10 years — call before visiting
Phone: (314) 291-0846
Fax: (573) 754-6056
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1073880480
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Pullum — Billing Manager · (636) 669-2434
Other names Ssm Health Medical Group
NPI enumeratedNovember 30, 2011
Last updated in NPPESJanuary 15, 2016
Mailing address1551 Wall St, Suite 310, Saint Charles, MO 63303-3539