Jackson W. McKim, CAA
NPI 1902779051ActiveIndividual· Anesthesiologist Assistant· Saint Louis, MO
Anesthesiologist Assistant (CAA) in Saint Louis, Missouri, trained at Emory University School of Medicine (class of 2025). Enrolled in Medicare as practitioner - anesthesiology assistant.
Overview
| NPI | 1902779051 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CAA |
| Sole proprietor | No |
| NPI issued | Sep 25, 2025 |
| Last updated in NPPES | Sep 25, 2025 |
| Certified by provider | Sep 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | PENDING | MO |
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
| Medical school | Emory University School of Medicine |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Western Anesthesiology Associates IncChesterfield, MO · 256 clinicians
Hospital affiliation
- Mercy Hospital St LouisSaint Louis, MO
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All 178 Anesthesiologist Assistant providers in Saint Louis · All Anesthesiologist Assistant providers in Missouri