OrganizationActive
Ssm Regional Health Services
NPI 1922488931 · Specialist · Jefferson City, MO
Provider details
- NPI number
- 1922488931
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Parent organization
- Ssm Regional Health Services
- Organization subpart
- Yes
- Authorized official
- Shasta Manuel, Regional Vice President Finance/Cfo(405) 272-7282
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2505 Mission Dr
Jefferson City, MO 65109-9508
Phone: (573) 681-3767
Fax: (573) 761-6947
Approximate (ZIP-level) locationGet directions
Mailing address
7655 Solutions Ctr
Chicago, IL 60677-7006
Other names (DBA / former)
- Doing business as
- Ssm Health Medical Group
- Doing business as
- Ssm Health Medical Group
Registry dates
- Enumerated
- 2015-06-04
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.