Organization Active NPI

South County Anesthesia Associates, LTD

Doing business as PRO Pain

  • Pain Clinic/Center
  • Saint Peters, MO
National Provider Identifier
1265705883
Registry record updated Sep 8, 2014
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
4800 Mexico Rd
Suite 101
Saint Peters, MO 63376-1666
Phone
(636) 442-5035
Fax
(636) 442-5036
NPI assigned
Feb 13, 2012
Last updated
Sep 8, 2014By 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 Sep 8, 2014

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

4800 Mexico Rd
Suite 101
Saint Peters, MO 63376-1666

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
South County Anesthesia LTD

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.

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": "1410134400000",
    "number": "1265705883",
    "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": "4800 MEXICO RD",
            "address_2": "SUITE 101",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761666",
            "telephone_number": "636-442-5035",
            "fax_number": "636-442-5036"
        }
    ],
    "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": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "RAU",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-386-7222"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRO Pain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.