MCKENNA E ROBERTS


Address: 621 S New Ballas Rd Ste 297a, Saint Louis, MO 63141-8200
Phone: 3142516364

MCKENNA E ROBERTS (NPI# 1255899316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255899316
Entity Type Individual
Full Name MCKENNA E ROBERTS
Credential PA
Practice Address 621 S New Ballas Rd Ste 297a
Saint Louis
MO 63141-8200
Practice Telephone 3142516364
Practice Fax Number 3142517897
Mailing Telephone 3142516364
Mailing Fax Number 3142517897
Enumeration Date 2019-03-07
Last Update Date 2019-03-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
2019007494 MO Physician Assistants & Advanced Practice Nursing Providers

Other Providers MCKENNA ROBERTS

NPI Name Taxonomy Address Enumeration
1275940744 Mckenna Faye Roberts Speech-Language Pathologist 9528 Camelot Dr, Windsor, CA 95492-7973 2014-07-16

Office Location

Street Address 621 S NEW BALLAS RD STE 297A
City SAINT LOUIS
State MO
Zip Code 63141-8200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811039969 Rebecca G Adams Physician Assistant 621 S New Ballas Rd Ste 297a, Saint Louis, MO 63141-8200 2007-02-13
1134375249 Terrence Fletcher Holekamp Neurological Surgery 621 S New Ballas Rd Ste 297a, Saint Louis, MO 63141-8200 2008-08-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679102842 Noor Ramadan Pharmacist 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 2020-04-08
1497381206 Washington University Durable Medical Equipment & Medical Supplies 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 2020-03-13
1154956498 Ashleigh Clendenny Physician Assistant Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 2020-03-06
1801429410 Emili Lou Haley Registered Nurse 650 Maryville Drive, St Louis, MO 63141 2020-02-21
1629553110 Rebecca Kathleen Pike Social Worker West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 2018-10-01
1649756099 River City Sedation Associates, LLC Nurse Anesthetist, Certified Registered 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 2018-07-18
1205333952 Ear Care and Hearing of St. Louis Hearing Aid Equipment 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 2018-04-10
1659897486 Erin Goodman Physical Therapist 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 2017-08-14
1093230450 Center for Urologic Surgery LLC Clinic/Center 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 2017-08-07
1871016105 Jacob Farley Tanner Specialist/Technologist 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 2017-07-19
Find all providers in zip 63141

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336314715 Rebecca May Palis Physician Assistant 1 Childrens Pl Ste 4s, Ste 4s, Saint Louis, MO 63110-1002 2008-04-25
1528245529 Darlene F Bry Physician Assistant 1108 Olive St, Saint Louis, MO 63101-1922 2008-01-22
1811039969 Rebecca G Adams Physician Assistant 621 S New Ballas Rd Ste 297a, Saint Louis, MO 63141-8200 2007-02-13
1417445941 Madeleine A Garman Physician Assistant 3015 N Ballas Rd, Saint Louis, MO 63131-2374 2018-04-30
1265938633 Ella Kathleen Barber Physician Assistant 845 N New Ballas Ct Ste 200, Saint Louis, MO 63141-7169 2018-04-03
1780193300 Rebecca Hruska Physician Assistant 615 S Ballas Rd, Saint Louis, MO 63122-5314 2017-09-26
1275078339 Anne Elizabeth Robinson Physician Assistant 625 S New Ballas Rd, Suite R-7040, Saint Louis, MO 63141-8253 2016-12-28
1548705601 Renee Suzanne Kertz Physician Assistant 625 S New Ballas Rd, Suite R-7040, Saint Louis, MO 63141-8253 2016-12-28
1437691540 Danielle Getsee Physician Assistant 625 S New Ballas Rd, Saint Louis, MO 63141-8253 2016-11-07
1982153268 Davis A Spielbauer Physician Assistant 400 S Kingshighway Blvd, Saint Louis, MO 63110-1014 2016-09-27
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63141

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Dataset Information

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.

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