Ssm Health Care St Louis
NPI 1275586174 · Emergency Medicine Physician · Fenton, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ssm Health Care St Louis is a Emergency Medicine Physician organization in Fenton, MO (NPI 1275586174).
Provider details
- NPI number
- 1275586174
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Ssm Health Care St. Louis
- Organization subpart
- Yes
- Authorized official
- Jeremy Fotheringham, Regional President(636) 496-2000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Ssm Health St Clare Fenton
- Doing business as
- Ssm Health St Clare Hospital
- Doing business as
- Ssm Health St. Clare Hospital Physician Billing
- Doing business as
- Ssm Health St. Clare Hospital Physician Billing
Additional practice locations (2)
- 1296 Jeffco Blvd Ste BArnold, MO 63010-2138Phone: (636) 321-8604Fax: (314) 344-7281
- 1011 Bowles AveFenton, MO 63026-2395Phone: (557) 203-1486Fax: (314) 344-7239
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Frequently asked questions
- What is Ssm Health Care St Louis's NPI number?
- Ssm Health Care St Louis's National Provider Identifier (NPI) is 1275586174, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ssm Health Care St Louis?
- Ssm Health Care St Louis is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ssm Health Care St Louis located?
- Ssm Health Care St Louis's practice location on file with NPPES is 1015 Bowles Avenue, Fenton, MO 63026.
- What is Ssm Health Care St Louis's phone number?
- The practice phone number listed in the NPPES registry for Ssm Health Care St Louis is (636) 496-2502.
- Does Ssm Health Care St Louis accept Medicare?
- Ssm Health Care St Louis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ssm Health Care St Louis?
- The authorized official listed on Ssm Health Care St Louis's NPPES record is Jeremy Fotheringham, Regional President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ssm Health Care St Louis's NPI active?
- Yes — Ssm Health Care St Louis's NPI (1275586174) is active in the NPPES registry as of the last update on 2026-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.