Signature Medical Group, Inc

LBN: Signature Medical Group, Inc
Signature Medical Group, Inc is an health care organization with primary practice located at 12639 Old Tesson Rd Suite 115, Saint Louis MO 63128-2786. The organization recently has 11 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Signature Medical Group, Inc can be contacted via phone (314) 849-0311, or through Vest, Jan C via phone (314) 842-8655.

Contact Information

Primary practice address
12639 Old Tesson Rd Suite 115 Saint Louis MO 63128-2786
Phone: (314) 849-0311
Fax: (314) 849-4423
Website:
Map and Directions
Authorized official contact:
Name: Vest, Jan C
Phone: (314) 842-8655

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Missouri
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X Missouri
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X Missouri
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X Missouri
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Missouri
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X
Allopathic & Osteopathic Physicians / Surgery 208600000X Missouri
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X Missouri

Profile Details

NPI number 1871542761
LBN Legal business name Signature Medical Group, Inc
DBA Doing business as
Authorized official Vest, Jan C
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated May 1st, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871542761 NPPES
Missouri MEDICAID 501357701
Missouri Other 3223
Missouri Other 7217344
Missouri Other CY0091
Missouri Other 377225

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