PHYSICIANS' AMBULATORY ANESTHESIA SERVICES, LLC (NPI# 1942596002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942596002 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS' AMBULATORY ANESTHESIA SERVICES, LLC |
| Practice Address |
12266 Depaul Drive Bridgeton MO 63044-2514 |
| Mailing Address |
1860 Gatemont Dr Chesterfield MO 63017-8012 |
| Practice Telephone | 3142917500 |
| Practice Fax Number | 3142917501 |
| Mailing Telephone | 3142838498 |
| Mailing Fax Number | 6362204132 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |
| Authorized Official Name | DR. JAMA MOHMOUD (PRESIDENT) |
| Authorized Official Telephone | 3142838498 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
12266 DEPAUL DRIVE |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548252000 | Angela Cartwright | Obstetrics & Gynecology | 12266 Depaul Drive, Suite 200, Bridgeton, MO 63044 | 2005-08-19 |
| 1982258687 | Julia Wagner | Nurse Practitioner | 12266 Depaul Drive, Suite 100, Bridgeton, MO 63044 | 2019-07-31 |
| 1508301565 | Richard Johnson | Pharmacist | 12266 Depaul Drive, Suite 105, Bridgeton, MO 63044 | 2016-12-30 |
| 1043760259 | Anne Marie Phillips | Nurse Practitioner | 12266 Depaul Drive, Suite 100, Bridgeton, MO 63044 | 2016-10-12 |
| 1689042467 | Kevin D. Burgdorf Dds LLC | Dentist | 12266 Depaul Drive, Suite 325, Bridgeton, MO 63044-2514 | 2015-09-10 |
| 1780077172 | Kimberly Anno | Nurse Practitioner | 12266 Depaul Drive, Suite 200, Bridgeton, MO 63044 | 2015-03-10 |
| 1174962922 | Ssm Depaul Medical Group | Orthopaedic Surgery | 12266 Depaul Drive, Suite 110, Bridgeton, MO 63044-2514 | 2013-06-14 |
| 1609131663 | Seth Hepner | Internal Medicine | 12266 Depaul Drive, Bridgeton, MO 63044 | 2012-07-05 |
| 1033427257 | Patricia Bozzi | Specialist | 12266 Depaul Drive, Suite 115, Bridgeton, MO 63044 | 2010-09-22 |
| 1598072613 | Emily Terese Britt | Physical Therapist | 12266 Depaul Drive, Suite 115, Bridgeton, MO 63044 | 2010-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078884 | Nand K Kodwani | Anesthesiology | 12303 Depaul Dr, Bridgeton, MO 63044 | 2005-10-28 |
| 1578559183 | M Kyle Sila | Anesthesiology | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2005-09-20 |
| 1205068020 | Thomas Shaw | Anesthesiology | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2009-08-12 |
| 1912998295 | Susan Dando | Anesthesiology | 12303 Depaul Dr, Bridgeton, MO 63044 | 2005-11-04 |
| 1699766709 | Vijayalakshmi Vallurupalli | Anesthesiology | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2005-10-31 |
| 1306837414 | Isabel B Perez | Anesthesiology | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2005-10-31 |
| 1659361715 | Alan R Schneider | Anesthesiology | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2005-10-28 |
| 1588654651 | Marcellus R Lawrence | Anesthesiology | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2005-10-28 |
| 1396735551 | Soon H Kim | Anesthesiology | 12303 Depaul Drive, Bridgeton, MO 63044 | 2005-10-27 |
| 1114917374 | Northwest Anesthesia Ltd | Anesthesiology | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2005-10-27 |
| Find all providers in BRIDGETON | ||||
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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.