Neurosurgical Specialists of West County Inc

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2012027914 Issued in MO

Legal business name

NEUROSURGICAL SPECIALISTS OF WEST COUNTY INC

Practice address

621 S New Ballas Rd
Suite 297a
Saint Louis, MO 63141-8232

Phone

(314) 251-6364

Fax

(314) 251-7897

NPI assigned

Mar 23, 2012

Last updated

Nov 2, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Angela Rose Genisio, PA-C

Title

PA-C

Phone

(314) 251-6364

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1053687079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 297A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6364",
            "fax_number": "314-251-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 297A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6364",
            "fax_number": "314-251-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGICAL SPECIALISTS OF WEST COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "GENISIO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "314-251-6364",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "2012027914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurology Associates, Inc.
• Neurology Services
• Neuropathy and Pain Solutions of South County
• Neuropsychological Diagnostics Inc
• Neuropsychology of St. Louis, LLC
• Neurosurgical Specialists of West County Inc
• Neurotherapeutics, Inc
• Neurowise LLC
• Jennifer Neuschafer
• Brent A Neuschwander-Tetri, MD

• Surgical Physician Assistant in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Surgical Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.