JEREMY STEPHEN COLYER


Address: 10010 Kennerly Rd, Saint Louis, MO 63128-2106
Phone: 6363867222

JEREMY STEPHEN COLYER (NPI# 1003125238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003125238
Entity Type Individual
Full Name JEREMY STEPHEN COLYER
Credential AA
Practice Address 10010 Kennerly Rd
Saint Louis
MO 63128-2106
Mailing Address Po Box 22407
Saint Louis
MO 63126-0407
Practice Telephone 6363867222
Practice Fax Number 6362004036
Mailing Telephone 6363867222
Mailing Fax Number 6362004036
Enumeration Date 2010-10-05
Last Update Date 2010-10-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367H00000X Anesthesiologist Assistant 2010034770 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10010 KENNERLY RD
City SAINT LOUIS
State MO
Zip Code 63128-2106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659374908 Udayshanker Kasinadhuni Anesthesiology 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2005-05-31
1598376287 Laura Mayer Dietitian, Registered 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-08-14
1265042014 Caitlin E Wagner Anesthesiologist Assistant 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-08-06
1881215424 Samantha Broughton Nurse Practitioner 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-05-06
1437779444 Kathleen Stebe Physical Therapist 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-04-20
1073148052 Carly Pruemer Nurse Anesthetist, Certified Registered 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-03-10
1568097541 Altan Halici Nurse Anesthetist, Certified Registered 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-03-10
1326673310 Rhyz Wilson Nurse Anesthetist, Certified Registered 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-03-10
1669007654 Megan Hahn Nurse Anesthetist, Certified Registered 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-03-10
1851925085 Katie Walsh Nurse Practitioner 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-02-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235771155 James T Fetsch Dmd LLC Dentist 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 2019-10-11
1326504655 Nikodem Dental Holdings Dentist 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 2019-02-12
1932678505 Michelle Anne Arvidson Physical Therapy Assistant Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 2018-11-13
1245726710 Kristen Rider Nurse Practitioner 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 2018-07-07
1306217427 Sophia Bednarski Dentist 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 2015-10-15
1427434224 Darcie Burrus Counselor 12523 Old Tesson Rd G, St Louis, MO 63128 2015-08-04
1710368584 Sara Hawatmeh Internal Medicine 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 2015-06-17
1871989590 Celia Grace Montes-kolence Speech-Language Pathologist 12335 W Bend Drive, Saint Louis, MO 63128 2015-04-09
1245629302 Marius Antonio Evans Dentist 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 2015-01-13
1801230313 Sarah Elizabeth Walsh Emergency Medicine 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 2013-04-26
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Taxonomy Information

Taxonomy Code 367H00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Anesthesiologist Assistant

Taxonomy Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174956163 Sara Leitner Anesthesiologist Assistant 2420 Menard St, Saint Louis, MO 63104-4330 2013-08-14
1265042014 Caitlin E Wagner Anesthesiologist Assistant 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2020-08-06
1083231070 Lauren Gonzalez Anesthesiologist Assistant 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2020-06-25
1124643622 Adam Z Zino Anesthesiologist Assistant 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2020-06-10
1679196364 Hannah Sneyd Anesthesiologist Assistant 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2020-05-28
1922621812 Daniel J Stelzer Anesthesiologist Assistant 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2020-05-26
1104448059 Nikolai Mckoy Anesthesiologist Assistant 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2020-05-14
1164044921 Nailah Newkirk Anesthesiologist Assistant 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2020-05-14
1760004543 Christian Gage Ortiz Anesthesiologist Assistant 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2020-05-14
1467073981 Eric N Enache Anesthesiologist Assistant 615 S New Ballas Rd, Saint Louis, MO 63141-8221 2020-05-06
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63128

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Dataset Information

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.

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