OrganizationActive
Western Anesthesiology Associates, Inc.
NPI 1487899472 · Interventional Pain Medicine Physician · Saint Peters, MO
Provider details
- NPI number
- 1487899472
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Fortner, Credentialing Coordinator(636) 386-9224
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5401 Veterans Memorial Pkwy
Suite #102
Saint Peters, MO 63376-1680
Phone: (636) 442-5070
Fax: (636) 442-5071
Street-level locationGet directions
Mailing address
5401 Veterans Memorial Pkwy
Saint Peters, MO 63376-1680
Registry dates
- Enumerated
- 2008-12-05
- Last updated
- 2008-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.