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NPI 1477342301ActiveIndividual· Anesthesiologist Assistant· Saint Louis, MO
Anesthesiologist Assistant with Midwest Anesthesia Providers SC, practicing in Saint Louis, Missouri. Enrolled in Medicare as practitioner - anesthesiology assistant. Heron Therapeutics, Inc. reported $17.64 in payments in 2025, mostly food and beverage. Lists Christian Hospital Northeast as a hospital affiliation.
Overview
| NPI | 1477342301 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 6, 2025 |
| Last updated in NPPES | May 6, 2025 |
| Certified by provider | May 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (MO) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Midwest Anesthesia Providers SCAlton, IL · 182 clinicians
Hospital affiliation
- Christian Hospital NortheastSaint Louis, MO
Industry payments (Open Payments)
- 2025$17.64 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Heron Therapeutics, Inc. | $17.64 | 1 |
What the 2025 payments were for
- Food and Beverage$17.64 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 178 Anesthesiologist Assistant providers in Saint Louis · All Anesthesiologist Assistant providers in Missouri