Organization Active NPI

Aima Neurology LLC

  • Neurology Physician
  • Saint Louis, MO
National Provider Identifier
1134329519
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
106297 Issued in MO
Legal business name
AIMA NEUROLOGY LLC
Practice address
2315 Dougherty Ferry Rd
Suite 207
Saint Louis, MO 63122-3383
Phone
(314) 984-8380
Fax
(314) 984-5091
NPI assigned
Jul 23, 2007
Last updated
Jun 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Dr. Sherry Xiao-Yue Ma, MDNPI 1275649048
Title
Ceo
Phone
(314) 984-8380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 106297 MO Primary

Addresses

Primary practice location

2315 Dougherty Ferry Rd
Suite 207
Saint Louis, MO 63122-3383

Mailing address

PO Box 410290
Saint Louis, MO 63141-0290
Phone (314) 984-8380

Other identifiers 6

IdentifierTypeStateIssuer
333473OtherMOHEALTH LINK
0500157OtherMOUNITED HEALTH CARE
208715508MedicaidMO
218597OtherMOGROUP HEALTH PLAN
108428OtherMOBLUE CROSS ATHEM
5868624OtherMOAETNA

National Provider Directory

National Provider Directory

Locations

505 Couch Ave
#220
Kirkwood, MO 63122
Phone (314) 984-8380

2315 Dougherty Ferry Rd
Ste 207
Saint Louis, MO 63122
Phone (314) 821-2100

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1134329519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410290",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631410290",
            "telephone_number": "314-984-8380",
            "fax_number": "314-984-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 DOUGHERTY FERRY RD",
            "address_2": "SUITE 207",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223383",
            "telephone_number": "314-984-8380",
            "fax_number": "314-984-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIMA NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "XIAO-YUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-984-8380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "106297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH LINK",
            "identifier": "333473",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0500157",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208715508",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "218597",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ATHEM",
            "identifier": "108428",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5868624",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.