Active NPI
Mary Ann Cheng, MD
- Anesthesiology Physician
- Saint Charles, MO
National Provider Identifier
1952336703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 104162
- Practice address
- 3501 Truman Blvd
Saint Charles, MO 63301 - Phone
- (636) 757-1971
- NPI assigned
- Jul 11, 2006
- Last updated
- Mar 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 104162 | MO | Primary |
Addresses
Primary practice location
3501 Truman Blvd
Saint Charles, MO 63301
Mailing address
4909 Laclede Ave
Unit 1006
Saint Louis, MO 63108-1426
Phone (314) 249-6101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104162 | MO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannibal Regional Healthcare System Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332115200000",
"number": "1952336703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4909 LACLEDE AVE",
"address_2": "UNIT 1006",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631081426",
"telephone_number": "314-249-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 TRUMAN BLVD",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "63301",
"telephone_number": "636-757-1971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENG",
"first_name": "MARY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2012-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "104162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
- Changing Your Beliefs to a Better Life, LLC (Mesey)
- Natchanan Charatcharungkiat, MD
- Charlespointe Counseling LLC
- Britani Hollis Chase, LCSW
- Jaspreet Kaur Chauhan, DDS
- Cathreveny Cherestal
- Cherish Healthcare, Incorporated (Cherish Healthcare, INc)
- Samantha Chilson, DPT, PT
- Natalie Chin
- Ronald Antonio Chinchilla, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.