Active NPI
Physician Services LLC
- Certified Registered Nurse Anesthetist
- Festus, MO
National Provider Identifier
1659962918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- PHYSICIAN SERVICES LLC
- Practice address
- 1301 YMCA Dr Ste 600
Festus, MO 63028-2608 - Phone
- (901) 603-7510
- NPI assigned
- Jan 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Naeem Aslam, MD
- Title
- Sole Member
- Phone
- (917) 336-8422
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
1301 YMCA Dr Ste 600
Festus, MO 63028-2608
Mailing address
1301 YMCA Dr Ste 600
Festus, MO 63028-2608
Phone (901) 603-7510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Saint Louis, MO
- NPI 1750347902
-
- Rheumatology Physician
- Bridgeton, MO
- NPI 1407058084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636934400000",
"number": "1659962918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 YMCA DR STE 600",
"city": "FESTUS",
"state": "MO",
"postal_code": "630282608",
"telephone_number": "901-603-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 YMCA DR STE 600",
"city": "FESTUS",
"state": "MO",
"postal_code": "630282608",
"telephone_number": "901-603-7510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-29",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A",
"authorized_official_last_name": "ASLAM",
"authorized_official_first_name": "NAEEM",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "917-336-8422",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.