SSM HEALTH CANCER CARE – NPI #1487963179
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Health Care Provider Taxonomy Code for Internal Medicine

SSM HEALTH CANCER CARE is a provider located in LAKE SAINT LOUIS, MO. NPPES has assigned the NPI number 1487963179 to SSM HEALTH CANCER CARE on September 29, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SSM HEALTH CANCER CARE” is a dba name, the actual legal business name for this organization is SSM CANCER CARE, INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 10 years ago on Jan 25, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SSM HEALTH CANCER CARE below.

NPI Profile for
SSM CANCER CARE, INC

NPI Number
1487963179
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SSM CANCER CARE, INC
Doing Business As (dba): SSM HEALTH CANCER CARE
Primary location
400 MEDICAL PLZ
SUITE 100
LAKE SAINT LOUIS, MO 63367-1490
Phone: (636) 639-8600 Fax: (636) 639-8676
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ELLIS HAWKINS
PRESIDENT
Phone: (636) 496-2500
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)
2085R0001X
- Radiology / Radiation Oncology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.