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Signature Medical Group, Inc

Orthopaedic Surgery Physician in Saint Louis, MO · enumerated 2006 · authorized official Chad Sackman, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1871542761

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Registry record

Entity type Organization (Type 2)
Legal business name Signature Medical Group, Inc
Practice address 12639 Old Tesson Rd, Suite 115, Saint Louis, MO, 63128
Fax (314) 849-4423
Enumeration date May 8, 2006
Last updated in NPPES Aug 8, 2024

Taxonomy & classification

207KA0200X Allergy Physician Allopathic & Osteopathic Physicians Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Secondary
207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary
207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
207VX0201X Gynecologic Oncology Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Primary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
208C00000X Colon & Rectal Surgery Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Chad Sackman
Title Ceo

Other identifiers

Identifier Type State Issuer
501357701 Medicaid MO -
377225 Other MO HEALTHLINK
3223 Other MO GROUP HEALTH PLAN
7217344 Other MO AETNA
CY0091 Other MO RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-08-08. Verify at npiregistry.cms.hhs.gov.
Where is Signature Medical Group, Inc located?
The practice location on file with NPPES is in Saint Louis, MO.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-08.