Healthcare Provider Details

I. General information

NPI: 1851254304
Provider Name (Legal Business Name): MID-WEST ANESTHESIA PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S WOODS MILL RD STE 140
CHESTERFIELD MO
63017-3427
US

IV. Provider business mailing address

400 S WOODS MILL RD STE 140
CHESTERFIELD MO
63017-3427
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GREGORY ROSS
Title or Position: VICE-PRESIDENT
Credential: DO
Phone: 314-485-1101