St. Louis Ambulatory Anesthesia, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ST. LOUIS AMBULATORY ANESTHESIA, LLC

Practice address

14705 White Lane CT
Chesterfield, MO 63017-7955

Phone

(888) 559-2666

NPI assigned

Feb 26, 2013

Last updated

Mar 1, 2013By 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

Joe Slimack, MD

Title

President

Phone

(314) 575-1745

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1194065268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 ROYAL LN STE E #350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303896",
            "telephone_number": "888-559-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14705 WHITE LANE CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177955",
            "telephone_number": "888-559-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS AMBULATORY ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "SLIMACK",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-575-1745",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Medical Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.