SOUTH COUNTY ANESTHESIA ASSOCIATES, LTD (NPI# 1114290749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114290749 |
| Entity Type | Organization |
| Organization Name | SOUTH COUNTY ANESTHESIA ASSOCIATES, LTD |
| Other Organization Name | PRO PAIN |
| Practice Address |
1601 Wentzville Pkwy Suite 109 Wentzville MO 63385-3814 |
| Mailing Address |
Po Box 22407 Saint Louis MO 63126-0407 |
| Practice Telephone | 6363326555 |
| Practice Fax Number | 6363861170 |
| Mailing Telephone | 6363867222 |
| Mailing Fax Number | 6363861170 |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2013-01-08 |
| Authorized Official Name | DONNA L RAU (OFFICE MANAGER) |
| Authorized Official Telephone | 6363867222 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH COUNTY ANESTHESIA ASSOCIATES, LTD. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PRO Pain | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265705883 | South County Anesthesia Associates, Ltd | Clinic/Center | 4800 Mexico Rd, Suite 101, Saint Peters, MO 63376-1666 | 2012-02-13 |
| 1689947202 | South County Anesthesia Associates, Ltd | Clinic/Center | 1055 Bowles Ave, Suite 200, Fenton, MO 63026-2308 | 2012-02-13 |
| Street Address |
1601 WENTZVILLE PKWY SUITE 109 |
| City | WENTZVILLE |
| State | MO |
| Zip Code | 63385-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114971983 | Dawn M Calabrese | Physician Assistant | 1601 Wentzville Pkwy, Wentzville, MO 63385-3814 | 2006-05-19 |
| 1043518350 | Ssm Medical Group Inc. | Orthopaedic Surgery | 1601 Wentzville Pkwy, Suite 117, Wentzville, MO 63385 | 2011-03-10 |
| 1538313424 | St Peters Bone and Joint Surgery, Inc | Durable Medical Equipment & Medical Supplies | 1601 Wentzville Pkwy, Suite 117, Wentzville, MO 63385-3814 | 2008-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1265906176 | Montrice M Haynes | Counselor | 500 Medical Dr., Central Intake, Wentzville, MO 63385 | 2019-01-14 |
| 1841718459 | Linda Duree | Counselor | 7105 Whisper Creek Dr, Wentzville, MO 63385 | 2017-09-03 |
| 1811349368 | Sara Kleinlein | Social Worker | 500 Medical Drive, Wentzville, MO 63385 | 2016-07-08 |
| 1275980757 | Teona Moeller | Nurse Practitioner | 1598 West Meyer Dr., Wentzville, MO 63385 | 2016-05-16 |
| 1831561273 | Jay F. Hauser, Dds, PC | Dentist | 11 Wentzville Bluffs Drive, Wentzville, MO 63385 | 2015-10-26 |
| 1720402035 | Shara Kuehl | Speech-Language Pathologist | One Campus Drive, Wentzville, MO 63385 | 2014-02-06 |
| 1336480474 | Simply Loyal In Home and Transport Services LLC | Home Health | 152 Enterprise Dr, Wentzille, MO 63385 | 2013-03-14 |
| 1750641338 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1849 Wentzville Parkway, Wentzville, MO 63385 | 2012-05-17 |
| Find all providers in zip 63385 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730605312 | Lake of The Ozarks Laser Pain Center LLC | Clinic/Center | 1039 E Us Highway 54 Ste 100, Camdenton, MO 65020-6852 | 2017-08-16 |
| 1952799264 | James R. Cook, Md | Clinic/Center | 2333 E Glenwood St, Springfield, MO 65804-3320 | 2015-01-08 |
| 1841540382 | Elpis Healthcare Inc | Clinic/Center | 9918 Grandview Forest Ct, Saint Louis, MO 63127-0046 | 2012-09-12 |
| 1114944196 | Twin City Healt Services | Clinic/Center | 2310 N Truman Blvd, Crystal City, MO 63019-1037 | 2006-07-16 |
| 1649623240 | Integrative Spine Care LLC | Clinic/Center | 13710 Olive Blvd, Chesterfield, MO 63017-2602 | 2016-07-19 |
| 1730588674 | Midwest Health Solutions LLC | Clinic/Center | 24 Southtowne Dr, Potosi, MO 63664-5729 | 2014-08-16 |
| 1265705883 | South County Anesthesia Associates, Ltd | Clinic/Center | 4800 Mexico Rd, Suite 101, Saint Peters, MO 63376-1666 | 2012-02-13 |
| 1689947202 | South County Anesthesia Associates, Ltd | Clinic/Center | 1055 Bowles Ave, Suite 200, Fenton, MO 63026-2308 | 2012-02-13 |
| 1508909680 | Physician Groups Lc | Clinic/Center | 11155 Dunn Rd, Suite 109n, Saint Louis, MO 63136-6150 | 2007-02-15 |
| 1265545495 | Ch Allied Services, Inc. | Clinic/Center | 1600 E Broadway, Columbia, MO 65201-5844 | 2006-08-15 |
| Find all providers with the same taxonomy | ||||
| City | WENTZVILLE |
| Zip Code | 63385 |
Please comment or provide details below to improve the information on SOUTH COUNTY ANESTHESIA ASSOCIATES, LTD.
| 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.