Allen D Baudendistel, M.D.
Individual provider Active NPI Anesthesiology Physician · Saint Louis, MO
NPI 1861497604 · NPPES record last updated Feb 19, 2008
Key facts
- NPI
- 1861497604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- R1K01 (MO)
- Practice address
- 3015 N Ballas Rd
Saint Louis, MO 63131-2329 - Phone
- (314) 996-5330
- Fax
- (314) 810-1399
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1K01 | MO | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | R1K01 | MO | Yes |
Addresses
Primary practice location
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Mailing address
2931 Devondale PL
Saint Louis, MO 63131-2520
Other providers in Saint Louis, MO
- Tara Joanne Anderson Battles
- Jessica Lynn Battocletti
- Marie Lynn Batty
- Jennifer Carolyn Baty
- Megan Elizabeth Batzer
- Donna Baudendistel
- Christy M Bauer Fogarty
- Sarah Louise Bauer Huang
- Amy Marie Bauer
- Brian J Bauer
All providers in Saint Louis, MO · Anesthesiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.