MR. SEAN BRADLEY STACEY (NPI# 1073076832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073076832 |
| Entity Type | Individual |
| Full Name | MR. SEAN BRADLEY STACEY |
| Credential | CRNA |
| Practice Address |
6420 Clayton Rd Saint Louis MO 63117-1811 |
| Mailing Address |
775a Chamberlain Pl Webster Groves MO 63119-2707 |
| Practice Telephone | 3147688442 |
| Mailing Telephone | 6182187267 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 123790 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6420 CLAYTON RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276874 | Lynn A Whitmer | Anesthesiology | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2005-06-22 |
| 1477162147 | James Unverferth | Pharmacist | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-07-28 |
| 1184248395 | Anna Petrovna Puzyrkova | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-06-03 |
| 1376163261 | Md S Ali | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-21 |
| 1992324214 | Avi Gandhi | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-16 |
| 1205456597 | Faisal Akasha Ramadan Sakeen | Internal Medicine | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-16 |
| 1255950796 | Saira Ibrahim | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-14 |
| 1023637568 | Max Harrison Rich | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-14 |
| 1386263879 | Sara Sartaj | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-14 |
| 1558980037 | Nedaa M. Husainat | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1548767783 | Chynna Janae Lorusso | Nurse Anesthetist, Certified Registered | 5321 Shaw Ave, Saint Louis, MO 63110-3023 | 2018-04-12 |
| 1245644806 | Nicole Fadler Stevens | Nurse Anesthetist, Certified Registered | 1 Barnes Jewish Hospital Plz Dept Of, Saint Louis, MO 63110-1003 | 2014-06-11 |
| 1467711226 | Jacob William Pressler | Nurse Anesthetist, Certified Registered | 725 Tuxedo Blvd, Saint Louis, MO 63119-1946 | 2012-05-14 |
| 1861718165 | Janna Sue Ford | Nurse Anesthetist, Certified Registered | 1304 Millbay Ct, Saint Louis, MO 63129-3171 | 2010-04-12 |
| 1407895030 | Scott Jeffrey Weinerth | Nurse Anesthetist, Certified Registered | 6122 Terri Lynn Dr, Saint Louis, MO 63123-1678 | 2006-06-06 |
| 1518913938 | Annie Mcnulty-jennings | Nurse Anesthetist, Certified Registered | 10535 Landseer Dr, Saint Louis, MO 63136-4530 | 2006-05-26 |
| 1417906579 | Diane Richter | Nurse Anesthetist, Certified Registered | 3015 N. Ballas Rd., Saint Louis, MO 63160-0001 | 2006-05-08 |
| 1699723510 | Mark Erwin Holthaus | Nurse Anesthetist, Certified Registered | 10811 Kennerly Rd, Saint Louis, MO 63128-2016 | 2006-05-04 |
| 1477539351 | Theresa Stearns | Nurse Anesthetist, Certified Registered | 5571 Bartmer Ave., Saint Louis, MO 63112-3406 | 2005-12-21 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.