Provider Demographics
NPI:1134318751
Name:ANKNEY, DANA E (MD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:E
Last Name:ANKNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4488 FOREST PARK AVE
Mailing Address - Street 2:STE 230
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-2283
Mailing Address - Country:US
Mailing Address - Phone:314-535-7855
Mailing Address - Fax:314-534-2803
Practice Address - Street 1:4488 FOREST PARK AVE
Practice Address - Street 2:STE 230
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-2283
Practice Address - Country:US
Practice Address - Phone:314-535-7855
Practice Address - Fax:314-534-2803
Is Sole Proprietor?:No
Enumeration Date:2007-10-19
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008002390207PP0204X, 208000000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208793703Medicaid
MO1134318751Medicaid