Waai Mobile Anesthesiology, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

WAAI MOBILE ANESTHESIOLOGY, LLC

Practice address

339 Consort Dr
Ballwin, MO 63011-4439

Phone

(636) 386-1120

Fax

(636) 386-7679

NPI assigned

Aug 26, 2011

Organization subpart

Yes

Parent organization

WESTERN ANESTHESIOLOGY ASSOCIATES, INC.As reported in NPPES

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

Authorized official

Name

Mr. Steve Johans

Title

Administrator

Phone

(636) 386-9224

Specialties & licenses 1

Addresses

Part of

Western Anesthesiology Assocaiates Inc

Locations

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1114207701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 CONSORT DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114439",
            "telephone_number": "636-386-1120",
            "fax_number": "636-386-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 CONSORT DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114439",
            "telephone_number": "636-386-1120",
            "fax_number": "636-386-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAAI MOBILE ANESTHESIOLOGY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN ANESTHESIOLOGY ASSOCIATES, INC.",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "JOHANS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "636-386-9224",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Scott Unnerstall, DC
• Mary Nancy Van Aman, DNP, RN, FNP-BC
• Katherine Vaughn
• VB Ballwin SH, LLC
• Danielle Nicole Voss, PT
• Daisy J Wagan, P.T.
• Kathryn Ann Wagner, DC
• Wal-Mart Stores East, LP
• Walgreen Co
• Walgreen Co

• Anesthesiology Physician in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Anesthesiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.