MRS. KRISTEN DOHERTY (NPI# 1780005488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780005488 |
| Entity Type | Individual |
| Full Name | MRS. KRISTEN DOHERTY |
| Other Name | MISS KRISTEN DELL |
| Credential | AA-C |
| Practice Address |
615 S. New Ballas Rd. Dept. of Anesthesiology St. Louis MO 63141 |
| Mailing Address |
339 Consort Dr Ballwin MO 63011-4439 |
| Practice Telephone | 3142514687 |
| Practice Fax Number | 6363867679 |
| Mailing Telephone | 6363869224 |
| Mailing Fax Number | 6363867679 |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2015-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 2014016080 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346875143 | Kristen Jean Doherty | Speech-Language Pathologist | 85 Middle Rd, Cumberland Center, ME 04021-3707 | 2020-03-12 |
| Street Address |
615 S. NEW BALLAS RD. DEPT. OF ANESTHESIOLOGY |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922194448 | George D. Lappas | Anesthesiology | 615 S. New Ballas Rd., Dept. of Anesthesia, St. Louis, MO 63141 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487911327 | Nancy M Behnen | Anesthesiologist Assistant | 3635 Vista Avenue, Fdt-3, St. Louis, MO 63110 | 2012-04-17 |
| 1245515295 | Jesse Graham Gibbons | Anesthesiologist Assistant | 3635 Vista, St. Louis, MO 63110 | 2011-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144727637 | Ryan Hladky | Anesthesiologist Assistant | 4510 Frederick Blvd, St Joseph, MO 64506-3238 | 2018-04-10 |
| 1174956163 | Sara Leitner | Anesthesiologist Assistant | 2420 Menard St, Saint Louis, MO 63104-4330 | 2013-08-14 |
| 1538418793 | Brent R Fairbanks | Anesthesiologist Assistant | 1235 E Cherokee, Springfield, MO 65804-2203 | 2012-09-04 |
| 1184903460 | Ryan Mathew Clark | Anesthesiologist Assistant | 1500 N Oakland, Bolivar, MO 65613-3099 | 2011-08-04 |
| 1548265945 | Tyron A Townsend | Anesthesiologist Assistant | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2005-06-14 |
| 1265042014 | Caitlin E Wagner | Anesthesiologist Assistant | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2020-08-06 |
| 1033736137 | Asher Herbet | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-06 |
| 1083231070 | Lauren Gonzalez | Anesthesiologist Assistant | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-06-25 |
| 1356966485 | Ashley Ann Eichelberger | Anesthesiologist Assistant | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-06-15 |
| 1124643622 | Adam Z Zino | Anesthesiologist Assistant | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-06-10 |
| Find all providers with the same taxonomy | ||||
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| 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.