NPIMap

Organization Active NPI

Western Anesthesiology Associates, Inc.

  • Anesthesiology Physician
  • Saint Louis, MO
National Provider Identifier
1275646754
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
WESTERN ANESTHESIOLOGY ASSOCIATES, INC.
Practice address
615 S New Ballas Rd
Dept. of Anesthesia
Saint Louis, MO 63141-8221
Phone
(636) 386-9224
Fax
(636) 386-7679
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X

Addresses

Primary practice location

615 S New Ballas Rd
Dept. of Anesthesia
Saint Louis, MO 63141-8221

Mailing address

339 Consort Dr
Ballwin, MO 63011-4439
Phone (636) 386-9224

Other identifiers 1

IdentifierTypeStateIssuer
500477500MedicaidMO

Other names 1

  • Western Anesthesiology Pain Management Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040226000438 MO Part B Supplier - Clinic/Group Practice 6204720667 Receives reassigned benefits from 305 practitioners
Practice locations: Saint Louis, MO; Washington, MO; Troy, MO; Saint Peters, MO; O Fallon, MO; Lake St Louis, MO; Chesterfield, MO; Ballwin, MO

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

339 Consort Dr
#1001
Ballwin, MO 63011

17050 Baxter Rd
Chesterfield, MO 63005
Phone (636) 200-4242

17000 Baxter Rd
Ste 200
Chesterfield, MO 63005
Phone (314) 230-7800

9701 Landmark Parkway Dr
Saint Louis, MO 63127
Phone (314) 842-4802

12399 Gravois Rd
Ste 102
Saint Louis, MO 63127
Phone (314) 729-0100

12855 N 40 Dr
Ste 100
Saint Louis, MO 63141
Phone (314) 594-8230

615 S New Ballas Rd
#1001
Saint Louis, MO 63141

5401 Veterans Memorial Pkwy
Ste 105
Saint Peters, MO 63376
Phone (636) 442-5070

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

901 Patients First Dr
#108
Washington, MO 63090
Phone (636) 390-1715

901 Patients First Dr
Ste 108
Washington, MO 63090
Phone (636) 390-1715

901 Patients First Dr
#A
Washington, MO 63090
Phone (636) 390-1404

901 Patients First Dr
#3300
Washington, MO 63090
Phone (636) 231-3670

884 Woods Mill Rd
Ste 100
Wildwood, MO 63011
Phone (636) 779-0079

Practitioners & affiliated clinicians

Practitioners 312

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 312

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1275646754",
    "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": "636-386-9224",
            "fax_number": "636-386-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD",
            "address_2": "DEPT. OF ANESTHESIA",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418221",
            "telephone_number": "636-386-9224",
            "fax_number": "636-386-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN ANESTHESIOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-05-10",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500477500",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Anesthesiology Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.