Courtney Henderson (NPI# 1114314424, PAC ID# 4183935927) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1114314424 |
| PAC ID by PECOS | 4183935927 |
| Professional Enrollment ID | I20150619000674 |
| Full Name | Courtney Henderson |
| Organization Legal Name | METRO-WEST ANESTHESIA GROUP INC |
| Address |
300 1st Capitol Dr Saint Charles MO 63301-2844 |
| Phone Number | 6369475000 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2163329921 |
| Number of Group Practice Members | 138 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260200 | SSM ST JOSEPH HOSPITAL WEST |
| 260005 | SSM ST JOSEPH HEALTH CENTER |
| 260017 | PHELPS COUNTY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 | 5734588899 | PHELPS COUNTY REGIONAL MEDICAL CENTER |
| 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 6369475000 | METRO-WEST ANESTHESIA GROUP INC |
| Organization Legal Name | METRO-WEST ANESTHESIA GROUP INC |
| Physicians | 141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amie M Clark | Certified Registered Nurse Anesthetist | Metro-west Anesthesia Group Inc | 10448 Old Olive St Rd, Suite 100, Creve Coeur, MO 63141-5927 |
| Amy D Kosanke | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 1040 Old Des Peres Rd, Saint Louis, MO 63131-1865 |
| Trevor M Vaughn | Anesthesiology | Metro-west Anesthesia Group Inc | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 |
| Lynn A Whitmer | Anesthesiology | Metro-west Anesthesia Group Inc | 12266 Depaul Drive, Suite 10, Bridgeton, MO 63044-2514 |
| Eva C Schulte | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| Julie Roach | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Christopher Hamlin | Anesthesiology | Metro-west Anesthesia Group Inc | 1015 Bowles Ave, Fenton, MO 63026-2394 |
| Kelsey E Westbrook | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 |
| Alicia M Ferguson | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Megan C Mccarthy | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 12303 De Paul Dr, Bridgeton, MO 63044-2512 |
| Street Address |
300 1ST CAPITOL DR |
| City | SAINT CHARLES |
| State | MO |
| Zip | 63301-2844 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Ann Berger | Nurse Practitioner | Southeastern Physician Services PC | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| Eva C Schulte | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| Ryan P Clark | Physician Assistant | St Charles Physician Services LLP | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| Jennifer J Alonzo-doriman | Nurse Practitioner | St Charles Physician Services LLP | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| Michelle R Mick | Nurse Practitioner | St Charles Physician Services LLP | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| Dawn Holemon | Psychiatry | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | |
| Nanette Quicho Delgiudice | Nurse Practitioner | Southeastern Physician Services PC | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| John F Fuller | Emergency Medicine | St Charles Emergency Group LLC | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| Brian A Weisenberg | Emergency Medicine | St Charles Emergency Group LLC | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| Edward M Charbek | Pulmonary Disease | St Charles Physician Services LLP | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard E Cannon | Allergy/immunology | Westbury Allergy, P.C. | 12 Westbury Dr A, St Charles, MO 63301-0001 |
| Joel Okner | Cardiovascular Disease (cardiology) | Telemedico Physicians Sc | 2150 W Randolph St, Saint Charles, MO 63301-0844 |
| Christopher E Sitarski | Chiropractic | 2050 Campus Dr, Saint Charles, MO 63301-1048 | |
| Emily S Weber | Physical Therapy | Babar Enterprises LLC | 1982 1st Capitol Dr, Saint Charles, MO 63301-1609 |
| Diane Keeven | Physical Therapy | Babar Enterprises LLC | 1982 1st Capitol Dr, Saint Charles, MO 63301-1609 |
| Jo Ann Booth | Clinical Social Worker | 200 S Kings Hwy St 200, Saint Charles, MO 63301-1637 | |
| Carrie J Schwoerer | Qualified Speech Language Pathologist | Empowerme Rehabilitation Missouri LLC | 1800 1st Capitol Dr, Apt 1, Saint Charles, MO 63301-1660 |
| Theresa Lynn Meyer | Physical Therapy | Empowerme Rehabilitation Missouri LLC | 1800 1st Capitol Dr, Apt 1, Saint Charles, MO 63301-1660 |
| Maria Hall | Qualified Speech Language Pathologist | Empowerme Rehabilitation Missouri LLC | 1800 1st Capitol Dr, Apt 1, Saint Charles, MO 63301-1660 |
| Madeline Myers | Occupational Therapy | Empowerme Rehabilitation Missouri LLC | 1800 1st Capitol Dr, Apt 1, Saint Charles, MO 63301-1660 |
| Find all physicians in zip 63301 | |||
| City | SAINT CHARLES |
| Zip Code | 63301 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SAINT CHARLES + 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.