OrganizationActive
Ssm Medical Group
NPI 1770789984 · Multi-Specialty Clinic/Center · Fenton, MO
Ssm Medical Group is a Multi-Specialty Clinic/Center organization in Fenton, MO (NPI 1770789984).
Provider details
- NPI number
- 1770789984
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Deborah Reichardt, Office Manager(636) 225-7908
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1747 Smizer Station Rd
Suite 6
Fenton, MO 63026-2784
Phone: (636) 225-7908
Fax: (636) 225-7497
Street-level locationGet directions
Mailing address
1747 Smizer Station Rd
Fenton, MO 63026-2784
Other names (DBA / former)
- Doing business as
- Ssm Medical Group Dba Joseph C. Rudolph, M.D.
Registry dates
- Enumerated
- 2007-06-25
- Last updated
- 2020-08-22
Frequently asked questions
- What is Ssm Medical Group's NPI number?
- Ssm Medical Group's National Provider Identifier (NPI) is 1770789984, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ssm Medical Group?
- Ssm Medical Group is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ssm Medical Group located?
- Ssm Medical Group's practice location on file with NPPES is 1747 Smizer Station Rd, Fenton, MO 63026-2784.
- What is Ssm Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Ssm Medical Group is (636) 225-7908.
- Who is the authorized official for Ssm Medical Group?
- The authorized official listed on Ssm Medical Group's NPPES record is Deborah Reichardt, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ssm Medical Group's NPI active?
- Yes — Ssm Medical Group's NPI (1770789984) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.