Ssm Depaul Health Center
NPI 1093155905ActiveOrganization· Assistant, Podiatric· Bridgeton, MO
Assistant, Podiatric in Bridgeton, Missouri, registered in NPPES in June 2013. The authorized official on file is Jay Moore, MD, Vice President Of Academic Affairs.
Overview
| NPI | 1093155905 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 25, 2013 |
| Last updated in NPPES | Jun 25, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assistant, Podiatric Primary | 211D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|