Stacey A Mormol (NPI# 1083933626, PAC ID# 6800920737) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1083933626 |
| PAC ID by PECOS | 6800920737 |
| Professional Enrollment ID | I20100814000098 |
| Full Name | Stacey A Mormol |
| Organization Legal Name | METRO-WEST ANESTHESIA GROUP INC |
| Address |
2345 Dougherty Ferry Rd Saint Louis MO 63122-3313 |
| Phone Number | 3144530600 |
| Gender | F |
| Graduation Year | 2010 |
| 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 |
|---|---|
| 260104 | SSM DEPAUL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 3144530600 | 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 |
2345 DOUGHERTY FERRY RD |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63122-3313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trevor M Vaughn | Anesthesiology | Metro-west Anesthesia Group Inc | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 |
| Kelsey E Westbrook | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 |
| James Schoen | Diagnostic Radiology | Therapeutic and Diagnostic Imaging LLC | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 |
| Joseph H Gatewood | Emergency Medicine | Physician Specialists of St Lukes LLC | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 |
| Mollie M James | General Surgery | Physician Specialists of St Lukes LLC | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 |
| Leah C Silver | Family Medicine | Physician Specialists of St Lukes LLC | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 |
| John D Gisi | Anesthesiology | Metro-west Anesthesia Group Inc | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 |
| Abby A Rush | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 |
| Sharon E Gillardi | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 |
| Mary J Loeffler | Certified Registered Nurse Anesthetist (crna) | Metro-west Anesthesia Group Inc | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank J Mistretta | Chiropractic | 11229 Manchester Rd, Saint Louis, MO 63122-1122 | |
| Deborah G Lavender | Physical Therapy | 11247 Manchester Rd, Kirkwood, MO 63122-1122 | |
| Linda Patton Walsh | Physical Therapy | Transfiguration Inc | 11247 Manchester Rd, Kirkwood, MO 63122-1122 |
| James W Hankinson | Chiropractic | 11216 Manchester Rd, Kirkwood, MO 63122-1123 | |
| John T Scarlas | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Russell W Pickett | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Sherry K Pickett | Qualified Audiologist | Greentree Audiology Inc | 10900 Manchester Rd, Suite 202, Kirkwood, MO 63122-1200 |
| Dawn Gross | Clinical Social Worker | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | |
| Lorie M Mcreynolds | Optometry | 11023 Manchester Rd, Kirkwood, MO 63122-1254 | |
| Sidney D Ybarra | Chiropractic | 11029 Manchester Rd, Saint Louis, MO 63122-1254 | |
| Find all physicians in zip 63122 | |||
| City | SAINT LOUIS |
| Zip Code | 63122 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SAINT LOUIS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Stacey A Mormol.
| 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.