Signature Medical Group, Inc is a Allergy & Immunology (Allergy) Clinic in Saint Louis, Missouri. It is situated at 12639 Old Tesson Rd, Suite 115, Saint Louis and its contact number is 314-849-0311. The authorized person of Signature Medical Group, Inc is Mr. Chad Sackman
who is Ceo of the clinic and their contact number is 314-849-0311.
Complete Clinic Profile:
Signature Medical Group, Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Specialization:
Allergy, Allergy & Immunology
Clinic Address:
12639 Old Tesson Rd, Suite 115, Saint Louis, Missouri, 63128-2786
Phone:
314-849-0311
Fax:
314-849-4423
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Chad Sackman
Position:
Ceo
Contact Number:
314-849-0311
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Signature Medical Group, Inc Clinic are as mentioned below.
NPI Number:
1871542761
NPI Enumeration Date:
08 May, 2006
NPI Last Update On:
08 Aug, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Signature Medical Group, Inc are as mentioned below.
Specialization
License Number
State
Status
Orthopaedic Surgery
Primary
Allergy
Secondary
Dermatology
Missouri
Secondary
Gastroenterology
Missouri
Secondary
Neurological Surgery
Missouri
Secondary
Obstetrics & Gynecology
Secondary
Gynecologic Oncology
Missouri
Secondary
Pediatrics
Missouri
Secondary
Pain Medicine
Secondary
Surgery
Missouri
Secondary
Colon & Rectal Surgery
Missouri
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
501357701
Medicaid
Missouri
377225
Other
Missouri
Healthlink
3223
Other
Missouri
Group Health Plan
7217344
Other
Missouri
Aetna
CY0091
Other
Missouri
Railroad Medicare
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Signature Medical Group, Inc 12639 Old Tesson Rd, Suite 115 Saint Louis, Missouri
Zip:
63128-2786
Phone Number:
314-849-0311
Fax Number:
314-849-4423
Patients can reach Signature Medical Group, Inc at 12639 Old Tesson Rd, Suite 115, Saint Louis, Missouri or can call to book an appointment on 314-849-0311. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
Allergy & Immunology (Allergy): Definition to come...
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