ST. LOUIS UNIVERSITY (NPI# 1770866709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770866709 |
| Entity Type | Organization |
| Organization Name | ST. LOUIS UNIVERSITY |
| Other Organization Name | SLUCARE DEPT OF PEDIATRIC ANESTHESIA |
| Practice Address |
1465 S Grand Blvd Saint Louis MO 63104-1003 |
| Mailing Address |
1831 Chestnut St Ste 650 Saint Louis MO 63103-2236 |
| Practice Telephone | 3145778750 |
| Mailing Telephone | 3149776828 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | ALYCE LANXON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3149776828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SLUCare Dept of Pediatric Anesthesia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053467746 | St. Louis University | Clinic/Center | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2007-01-26 |
| 1164767919 | St. Louis University | Occupational Therapist | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2012-12-05 |
| 1477812238 | St. Louis University | Hospitalist | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2012-05-14 |
| 1972576577 | St. Louis University | Pathology | 1402 S Grand Blvd, Saint Louis, MO 63104-1004 | 2006-02-13 |
| Street Address |
1465 S GRAND BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676921 | Gunjanpreet Kaur | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-07-21 |
| 1972128510 | Millicent Rose Palacios | Nurse Practitioner | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-06-09 |
| 1083241863 | Nathaniel Joseph Conner | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1467089177 | Stacy Kollanur Mathews | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1568099299 | Susan Aye Mya Oo | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1861029514 | Gregory Joseph Weissler II | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1154958874 | Brendan Michael Mcenery | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1316574049 | Satvika Mikkilineni | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1972130607 | Katherine Letha Randolph | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1346877081 | Samuel Ryan Richey | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710305651 | Anita Mathew | Anesthesiology | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2014-03-28 |
| 1508200775 | Andrew S Oster | Anesthesiology | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2013-04-18 |
| 1720377997 | Eduardo Reina | Anesthesiology | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2011-03-28 |
| 1376863936 | Preeta George | Anesthesiology | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2010-06-07 |
| 1477701316 | Soumya Mahapatra | Anesthesiology | 660 S Euclid Ave, C B 8054, Saint Louis, MO 63110-1010 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326249475 | Anesthesia Services LLC | Anesthesiology | 11600 Manchester Rd Ste 101, Des Peres, MO 63131-4691 | 2007-05-29 |
| 1184859233 | Daniel Agne | Anesthesiology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2009-05-19 |
| 1972703486 | Susan Sajee Lava-parmele | Anesthesiology | One Hospital Dr, Columbia, MO 65212-0001 | 2007-07-23 |
| 1285832196 | Courtnay Scarborough | Anesthesiology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-07-03 |
| 1508063397 | Joseph Franklin Banks | Anesthesiology | 2401 Gillham Rd, Anesthesia Department, Kansas City, MO 64108-4619 | 2007-06-27 |
| 1366648453 | Robin Decoursey Jenson | Anesthesiology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-06-25 |
| 1639387772 | Jeremy Michael Harnden | Anesthesiology | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2007-05-21 |
| 1962614123 | Nichole Doyle | Anesthesiology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-05-03 |
| City | SAINT LOUIS |
| Zip Code | 63104 |
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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.