Ssm Depaul Medical Group, Inc.
NPI 1952312951ActiveOrganization· Family Medicine· Florissant, MO
Family Medicine in Florissant, Missouri, registered in NPPES in August 2006, part of Ssm Depaul Medical Group. The authorized official on file is Laura Lynn Pullum, Director Of Patient Accounts.
Overview
| NPI | 1952312951 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ssm Depaul Medical Group |
| NPI issued | Aug 11, 2006 |
| Last updated in NPPES | Nov 18, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Pediatrics | 208000000X | — | — |
| Podiatrist | 213E00000X | — | — |
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 |
|---|
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