Albanna Neurosurgical Consultants a Professional Corp

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

ALBANNA NEUROSURGICAL CONSULTANTS A PROFESSIONAL CORP

Practice address

5000 Cedar Plaza Pkwy
Suite 220
St Louis, MO 63128

Phone

(314) 849-9090

Fax

(314) 849-4165

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Chris Ketcherside, CMM

Title

Practice Adm Corp Sec

Phone

(314) 849-9090

Specialties & licenses 3

Addresses

Other identifiers 3

Practitioners 1

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

• Faisal J Albanna, M.D.

  • Neurological Surgery Physician
  • Saint Louis, MO
  • NPI 1932285475

  Neurological Surgery

  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1811056005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CEDAR PLAZA PKWY",
            "address_2": "SUITE 220",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63128",
            "telephone_number": "314-849-9090",
            "fax_number": "314-849-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CEDAR PLAZA PKWY",
            "address_2": "SUITE 220",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63128",
            "telephone_number": "314-849-9090",
            "fax_number": "314-849-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANNA NEUROSURGICAL CONSULTANTS A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "KETCHERSIDE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRACTICE ADM CORP SEC",
        "authorized_official_telephone_number": "314-849-9090",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMM"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508602802",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "3692",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "096K1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alaska Sleep Clinic Inc
• Mohammad Hesam Alavi, MD, MPH
• Nawaf Alay, AA
• Quazim Adegbola Alayo, MD
• William B Albair, DDSMS
• Faisal J Albanna, M.D.
• Nicole Lynn Albarado
• Bassam Albarcha, MD,FACP
• Crystal Marie Alber, CRNA
• Anne C Albers, PNP

• All providers in St Louis, MO
• Neurological Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.