Individual provider Active NPI

Patrick Alan Dawson, DO

  • Anesthesiology Physician
  • Saint Louis, MO
National Provider Identifier
1942396783
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2003013337 Issued in MO
Practice address
615 S New Ballas Rd Dept of
Saint Louis, MO 63141-8221
Phone
(314) 251-6000
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2003013337 MO Primary

Addresses

Primary practice location

615 S New Ballas Rd Dept of
Saint Louis, MO 63141-8221

Mailing address

14825 N. Outer Forty Rd.
Chesterfield, MO 63017
Phone (636) 898-4707

Other practice location 1

14825 N. Outer Forty Rd.
Chesterfield, MO 63017
Phone (636) 898-4707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050727001142 MO Practitioner - Anesthesiology 5597793927 Reassigns benefits to 3 organizations
I20180627003617 IL Practitioner - Anesthesiology 5597793927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Midwestern University, Chicago College of Osteopathic Med, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Anesthesiology Associates Inc 251 clinicians

Practice addresses (Care Compare)

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-4687

Hospital & facility affiliations

  • Mercy Hospital Washington Hospital, Washington, MO, CCN 260052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2003013337MOMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Anesthesia PC Anesthesiology CurrentSince Apr 2, 2018 Accepting new patients
Western Anesthesiology Associates, Inc. Anesthesiology CurrentSince Aug 26, 2019 Accepting new patients
Premier Anesthesia LLC Anesthesiology CurrentSince Feb 16, 2006 Accepting new patients
Forest Park Anesthesia, Inc Anesthesiology Past Accepting new patients

Locations

5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

339 Consort Dr
Ballwin, MO 63011
Phone (636) 386-7222

17300 North Outer 40 Rd
Ste 100
Chesterfield, MO 63005
Phone (314) 865-7992

14825 North Outer 40 Rd
Ste 100
Chesterfield, MO 63017
Phone (636) 898-4695

10 S Hospital Dr
Fulton, MO 65251
Phone (573) 592-6550

6150 Oakland Ave
Saint Louis, MO 63139
Phone (314) 768-3000

760 Office Pkwy
Ste 100
Saint Louis, MO 63141
Phone (314) 200-1462

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

1130 Town and Country Commons Dr
Twn and Cntry, MO 63017
Phone (636) 256-0320

901 Patients First Dr
#A
Washington, MO 63090
Phone (636) 390-1404

901 Patients First Dr
Ste 108
Washington, MO 63090
Phone (636) 390-1715

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1942396783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14825 N. OUTER FORTY RD.",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "636-898-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD DEPT OF",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418221",
            "telephone_number": "314-251-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14825 N. Outer Forty Rd.",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "63017",
            "country_code": "US",
            "telephone_number": "636-898-4707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "PATRICK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2003013337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.