Anesthesia Associates of Jefferson County
Organization Active NPI Anesthesiology Physician · Cryatal City, MO
NPI 1073545265 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1073545265
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- ANESTHESIA ASSOCIATES OF JEFFERSON COUNTY
- Practice address
- Highway 61 S. at Highway 67
Cryatal City, MO 63019 - Phone
- (636) 933-1000
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Anthony Anderson, MD
- Title
- Pres
- Phone
- (636) 933-1000
Practitioners 24
-
Anthony Anderson, MD
-
Parviz M Behbahani, M.D.
-
Russell K Burton, MD
-
Michael D Finn, MD
-
Jason Lee, MD
-
Rodolfo Maceren, MD
-
Vernon P Weygandt, CRNA
-
Ioanna Apostolidou, M.D.
-
Ronald Clyde Bailiff, M.D.
-
Robert A. Conway, M.D.
-
Ronald E Gonzales, CRNA
-
Dean M Harless, M.D.
-
Hieu H Le, M.D.
-
Joseph W Lucero, MD
-
Sheri Marie Luebrecht, M.D.
-
Christopher Mina, M.D.
-
Hind Shabany, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
Highway 61 S. at Highway 67
Cryatal City, MO 63019
Mailing address
Highway 61 S. at Highway 67
Cryatal City, MO 63019
Phone (636) 933-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129208 | Other | MO | BLUE SHIELD |
| CH0419 | Other | MO | RR MEDICARE |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.