Ssm Health Care St Louis
NPI 1275586174ActiveOrganization· Emergency Medicine· Fenton, MO
Emergency Medicine in Fenton, Missouri, registered in NPPES in May 2006, part of Ssm Health Care St. Louis. The authorized official on file is Jeremy Fotheringham, Regional President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1275586174 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ssm Health Care St. Louis |
| NPI issued | May 19, 2006 |
| Last updated in NPPES | Jun 2, 2026 |
| Certified by provider | Jun 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — | — |
| Surgery, Vascular Surgery | 2086S0129X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (MO) |
|---|
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