Western Anesthesiology Associates, Inc.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

WESTERN ANESTHESIOLOGY ASSOCIATES, INC.

Practice address

5401 Veterans Memorial Pkwy
Suite #102
Saint Peters, MO 63376-1680

Phone

(636) 442-5070

Fax

(636) 442-5071

NPI assigned

Dec 5, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Mary M Fortner

Title

Credentialing Coordinator

Phone

(636) 386-9224

Specialties & licenses 1

Addresses

Tax ID family

Western Anesthesiology Assocaiates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Western Anesthesiology Assocaiates, Inc.

  • Interventional Pain Medicine Physician
  • Saint Louis, MO
  • NPI 1699916247
  NPD tax ID

Locations

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1487899472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 VETERANS MEMORIAL PKWY",
            "address_2": "SUITE #102",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761680",
            "telephone_number": "636-442-5070",
            "fax_number": "636-442-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 VETERANS MEMORIAL PKWY",
            "address_2": "SUITE #102",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761680",
            "telephone_number": "636-442-5070",
            "fax_number": "636-442-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN ANESTHESIOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "FORTNER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "636-386-9224",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Wendel
• Mary E Wenom, LCSW
• Ashley E Werle
• Katelyn Wesselmann
• Diana L Westerfield, D.O.
• Dawn Westrich
• David Glenn Wheeler, O.D.
• Elizabeth Lee White, CF-SLP
• John S White II, MD
• Laura Ann White, AGNP

• Interventional Pain Medicine Physician in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Interventional Pain Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.