NPIMap

Organization Active NPI

South County Anesthesia Associates, LTD

Doing business as PRO Pain

  • Pain Clinic/Center
  • Wentzville, MO
National Provider Identifier
1114290749
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
SOUTH COUNTY ANESTHESIA ASSOCIATES, LTD
Doing business as
PRO Pain
Practice address
1601 Wentzville Pkwy
Suite 109
Wentzville, MO 63385-3814
Phone
(636) 332-6555
Fax
(636) 386-1170
NPI assigned
Feb 13, 2012
Last updated
Jan 8, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH COUNTY ANESTHESIA ASSOCIATES, LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Donna L Rau
Title
Office Manager
Phone
(636) 386-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

1601 Wentzville Pkwy
Suite 109
Wentzville, MO 63385-3814

Mailing address

PO Box 22407
Saint Louis, MO 63126-0407
Phone (636) 386-7222

Other names 1

  • PRO Pain Doing business as

National Provider Directory

National Provider Directory
Part of
Invalid Entry

Locations

114 Piper Hill Dr
Ofc
Saint Peters, MO 63376
Phone (636) 442-5035

2634 Highway 109
Ste E
Wildwood, MO 63040
Phone (314) 384-6534

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 80

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1114290749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22407",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631260407",
            "telephone_number": "636-386-7222",
            "fax_number": "636-386-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WENTZVILLE PKWY",
            "address_2": "SUITE 109",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853814",
            "telephone_number": "636-332-6555",
            "fax_number": "636-386-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY ANESTHESIA ASSOCIATES, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH COUNTY ANESTHESIA ASSOCIATES, LTD.",
        "enumeration_date": "2012-02-13",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "RAU",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-386-7222"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRO Pain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.