Active NPI
Northwest Anesthesia, LTD.
- Certified Registered Nurse Anesthetist
- Bridgeton, MO
National Provider Identifier
1679637953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- NORTHWEST ANESTHESIA, LTD.
- Practice address
- 12303 De Paul Dr
Bridgeton, MO 63044-2512 - Phone
- (314) 344-7049
- Fax
- (314) 344-7073
- NPI assigned
- Dec 20, 2006
- Last updated
- Jun 25, 2008
- 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
- Dr. Alan R Schneider, MD
- Title
- President
- Phone
- (314) 344-7049
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
12303 De Paul Dr
Bridgeton, MO 63044-2512
Mailing address
12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-7049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 502775505 | Medicaid | MO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Bridgeton, MO
- NPI 1659361715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1679637953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12303 DE PAUL DR",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442512",
"telephone_number": "314-344-7049",
"fax_number": "314-344-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12303 DE PAUL DR",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442512",
"telephone_number": "314-344-7049",
"fax_number": "314-344-7073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST ANESTHESIA, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "SCHNEIDER",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-344-7049",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "502775505",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
- Corey Nolte, PT, DPT, GCS
- Meredith Norman, APRN-CNP
- North County Internists Inc (North County Internist)
- North County Neurosurgery, Inc
- Northwest Anesthesia LTD
- Northwest Infectious Disease Services LLC
- Northwest Internal Medicine Specialists
- Northwest Otolaryngology, Inc (Northwest Otolaryngology)
- Francis Ntimba, M.D.
- Nucrown, LLC (Crown Optical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.