SOUTH COUNTY ANESTHESIA ASSOCIATES, LTD (NPI# 1689947202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689947202 |
| Entity Type | Organization |
| Organization Name | SOUTH COUNTY ANESTHESIA ASSOCIATES, LTD |
| Other Organization Name | PRO PAIN |
| Practice Address |
1055 Bowles Ave Suite 200 Fenton MO 63026-2308 |
| Mailing Address |
Po Box 22407 Saint Louis MO 63126-0407 |
| Practice Telephone | 6364963900 |
| Practice Fax Number | 6363861170 |
| Mailing Telephone | 6363867222 |
| Mailing Fax Number | 6363861170 |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2013-01-08 |
| Authorized Official Name | DONNA L RAU (OFFICE MANAGER) |
| Authorized Official Telephone | 6363867222 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH COUNTY ANESTHESIA ASSOCIATES, LTD. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pro Pain | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114290749 | South County Anesthesia Associates, Ltd | Clinic/Center | 1601 Wentzville Pkwy, Suite 109, Wentzville, MO 63385-3814 | 2012-02-13 |
| 1265705883 | South County Anesthesia Associates, Ltd | Clinic/Center | 4800 Mexico Rd, Suite 101, Saint Peters, MO 63376-1666 | 2012-02-13 |
| Street Address |
1055 BOWLES AVE SUITE 200 |
| City | FENTON |
| State | MO |
| Zip Code | 63026-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033351119 | Ssm St Clare Surgical Center LLC | Clinic/Center | 1055 Bowles Ave, Ste 100, Fenton, MO 63026-2308 | 2009-04-03 |
| 1649598855 | Lindsey N Bright | Nurse Anesthetist, Certified Registered | 1055 Bowles Ave, Fenton, MO 63026-2394 | 2010-05-12 |
| 1427373265 | Mark Anatoly Rivkin | Neurological Surgery | 1055 Bowles Ave, Suite 200, Fenton, MO 63026-2308 | 2010-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730605312 | Lake of The Ozarks Laser Pain Center LLC | Clinic/Center | 1039 E Us Highway 54 Ste 100, Camdenton, MO 65020-6852 | 2017-08-16 |
| 1952799264 | James R. Cook, Md | Clinic/Center | 2333 E Glenwood St, Springfield, MO 65804-3320 | 2015-01-08 |
| 1841540382 | Elpis Healthcare Inc | Clinic/Center | 9918 Grandview Forest Ct, Saint Louis, MO 63127-0046 | 2012-09-12 |
| 1114944196 | Twin City Healt Services | Clinic/Center | 2310 N Truman Blvd, Crystal City, MO 63019-1037 | 2006-07-16 |
| 1649623240 | Integrative Spine Care LLC | Clinic/Center | 13710 Olive Blvd, Chesterfield, MO 63017-2602 | 2016-07-19 |
| 1730588674 | Midwest Health Solutions LLC | Clinic/Center | 24 Southtowne Dr, Potosi, MO 63664-5729 | 2014-08-16 |
| 1114290749 | South County Anesthesia Associates, Ltd | Clinic/Center | 1601 Wentzville Pkwy, Suite 109, Wentzville, MO 63385-3814 | 2012-02-13 |
| 1265705883 | South County Anesthesia Associates, Ltd | Clinic/Center | 4800 Mexico Rd, Suite 101, Saint Peters, MO 63376-1666 | 2012-02-13 |
| 1508909680 | Physician Groups Lc | Clinic/Center | 11155 Dunn Rd, Suite 109n, Saint Louis, MO 63136-6150 | 2007-02-15 |
| 1265545495 | Ch Allied Services, Inc. | Clinic/Center | 1600 E Broadway, Columbia, MO 65201-5844 | 2006-08-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTH COUNTY ANESTHESIA ASSOCIATES, LTD.
| 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.