Sean Bradley Stacey (NPI# 1073076832, PAC ID# 1850624818) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1073076832 |
| PAC ID by PECOS | 1850624818 |
| Professional Enrollment ID | I20190605002509 |
| Full Name | Sean Bradley Stacey |
| Organization Legal Name | ANESTHESIA PARTNERS LTD |
| Address |
232 Mayfair Plaza Shopping Ctr Florissant MO 63033-8009 |
| Phone Number | 3147364344 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3870557986 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260091 | SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 232 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 | 3147364344 | ANESTHESIA PARTNERS LTD |
| 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 3147688442 | ANESTHESIA PARTNERS LTD |
| Organization Legal Name | ANESTHESIA PARTNERS LTD |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larissa Anokhin | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners Ltd | 6420 Clayton Rd, Saint Louis, MO 63117-1811 |
| Stefan Eichhorn | Anesthesiology | Anesthesia Partners Ltd | 6420 Clayton Rd, Saint Louis, MO 63117-1811 |
| Kyle A Wogtech | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners Ltd | 6420 Clayton Rd, Saint Louis, MO 63117-1811 |
| Alex C Schoenbeck | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners Ltd | 6420 Clayton Rd, Saint Louis, MO 63117-1811 |
| Jenna L Tebbenkamp | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners Ltd | 6420 Clayton Rd, Saint Louis, MO 63117-1811 |
| Kimberly A Moleski Powderly | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners Ltd | 6420 Clayton Rd, Saint Louis, MO 63117-1811 |
| Joshua M Shelley | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners Ltd | 6420 Clayton Rd, Saint Louis, MO 63117-1811 |
| Jeffrey O Bray | Anesthesiology | Anesthesia Partners Ltd | 6420 Clayton Rd, Saint Louis, MO 63117-1811 |
| Richard L Scott | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners Ltd | 6420 Clayton Rd, Saint Louis, MO 63117-1811 |
| Tricia A Sutton | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners Ltd | 6420 Clayton Rd, Saint Louis, MO 63117-1811 |
| Street Address |
232 MAYFAIR PLAZA SHOPPING CTR |
| City | FLORISSANT |
| State | MO |
| Zip | 63033-8009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Joan Thielemier | Certified Registered Nurse Anesthetist (crna) | Anesthesia Partners Ltd | 232 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 |
| Bruce T Vest Jr. | Orthopedic Surgery | Orthopedic and Sports Medicine Clinic PC | 232 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol F Merritt | Optometry | 2750 N Hwy 67, Florissant, MO 63033-1402 | |
| Kevin L Mcclain | Chiropractic | 2640 N Us Hwy 67, Florissant, MO 63033-1438 | |
| Nancy E Noel | Emergency Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Cynthia X Wiederholt | Emergency Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Bessevelyn M Tables | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Manuel L San | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| David Dunn | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Phillip J Greene | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Kathryn A Followell | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Paul D D Rains | Family Medicine | Fast Track Medical LLC | 2686 N Hwy 67, Florissant, MO 63033-1438 |
| Find all physicians in zip 63033 | |||
| City | FLORISSANT |
| Zip Code | 63033 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | FLORISSANT + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.