Organization Active NPI

Millennium Anesthesiology Consultants LLC

  • Anesthesiology Physician
  • Chesterfield, MO
National Provider Identifier
1730033713
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MILLENNIUM ANESTHESIOLOGY CONSULTANTS LLC
Practice address
144 S Eatherton Rd
Chesterfield, MO 63005-4016
Phone
(314) 492-1112
Fax
(214) 301-0649
NPI assigned
Feb 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Frederick Wagner, MDNPI 1770589053
Title
President
Phone
(314) 492-1112

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

144 S Eatherton Rd
Chesterfield, MO 63005-4016

Mailing address

14850 Quorum Dr Ste 400
Dallas, TX 75254-1445
Phone (469) 437-3564

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260611000749 MO Part B Supplier - Clinic/Group Practice 2961974944 Receives reassigned benefits from 6 practitioners
Practice locations: Chesterfield, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1730033713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14850 QUORUM DR STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752541445",
            "telephone_number": "469-437-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S EATHERTON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630054016",
            "telephone_number": "314-492-1112",
            "fax_number": "214-301-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM ANESTHESIOLOGY CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-492-1112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.