Active NPI
South County Anesthesia Associates, LTD
Doing business as Pro Pain
- Pain Clinic/Center
- Fenton, MO
National Provider Identifier
1689947202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- SOUTH COUNTY ANESTHESIA ASSOCIATES, LTD
- Doing business as
- Pro Pain
- Practice address
- 1055 Bowles Ave
Suite 200
Fenton, MO 63026-2308 - Phone
- (636) 496-3900
- Fax
- (636) 386-1170
- NPI assigned
- Feb 13, 2012
- Last updated
- Jan 8, 2013
- Organization subpart
- Yes
- Parent organization
- SOUTH COUNTY ANESTHESIA ASSOCIATES, LTD.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna L Rau
- Title
- Office Manager
- Phone
- (636) 386-7222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | NU | Primary |
Addresses
Primary practice location
1055 Bowles Ave
Suite 200
Fenton, MO 63026-2308
Mailing address
PO Box 22407
Saint Louis, MO 63126-0407
Phone (636) 386-7222
Other names 1
- Pro Pain
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.
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1821031659
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": "1357603200000",
"number": "1689947202",
"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": "1055 BOWLES AVE",
"address_2": "SUITE 200",
"city": "FENTON",
"state": "MO",
"postal_code": "630262308",
"telephone_number": "636-496-3900",
"fax_number": "636-386-1170"
}
],
"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": "2013-01-08",
"status": "A",
"authorized_official_last_name": "RAU",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "L",
"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 Fenton, MO
- Donna Sue Snyder, RN
- Kaitlyn Marie Solomon, AGPCNP
- Solutions Lab and Health Care Services LLC
- Zachary Sommermeyer, PT, DPT, GCS
- Amber Lee Sorcic, DC
- Specialt MRI, LLC
- Angela Rae Sqrow, WHNP
- Hari Thanigaraj Srihari, M.D.
- SSM Health Care St Louis (SSM Health St Clare Fenton)
- SSM Health Care St. Louis (SSM Health St. Clare Hospital - Fenton)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.