Healthcare Provider Details

I. General information

NPI: 1245427335
Provider Name (Legal Business Name): METRO-WEST ANESTHESIA GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2007
Last Update Date: 01/12/2022
Certification Date: 01/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S WOODS MILL RD STE 140
CHESTERFIELD MO
63017-3429
US

IV. Provider business mailing address

400 S WOODS MILL RD
CHESTERFIELD MO
63017-3429
US

V. Phone/Fax

Practice location:
  • Phone: 314-485-1101
  • Fax: 314-485-1104
Mailing address:
  • Phone: 314-485-1101
  • Fax: 314-485-1104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: DR. LUKE SEHY
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 314-485-1101