OrganizationActive
Ssm Depaul Health Center
NPI 1093155905 · Podiatric Assistant · Bridgeton, MO
Provider details
- NPI number
- 1093155905
- Entity type
- Organization
- Primary specialty
- Podiatric AssistantPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Jay Moore, Vice President of Academic Affairs(314) 334-6971
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone: (314) 334-6971
Street-level locationGet directions
Mailing address
12303 Depaul Drive
Bridgeton, MO 63044
Registry dates
- Enumerated
- 2013-06-25
- Last updated
- 2013-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.