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

SSM St Charles Clinic Medical Group, Inc

Organization Family Medicine Physician · NPI 1285741629

SSM St Charles Clinic Medical Group, Inc provides Family Medicine Physician services 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.

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Practice location Address checks out

172 Professional Pkwy
Troy, MO 63379-1520 Not confirmed with CMS for 10 years — call before visiting
Phone: (636) 462-6106
Fax: (636) 669-2401
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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

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