Provider Demographics
NPI:1245427335
Name:METRO-WEST ANESTHESIA GROUP INC
Entity Type:Organization
Organization Name:METRO-WEST ANESTHESIA GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-485-1101
Mailing Address - Street 1:400 S WOODS MILL RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3429
Mailing Address - Country:US
Mailing Address - Phone:314-485-1101
Mailing Address - Fax:314-485-1104
Practice Address - Street 1:400 S WOODS MILL RD
Practice Address - Street 2:STE 140
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3429
Practice Address - Country:US
Practice Address - Phone:314-485-1101
Practice Address - Fax:314-485-1104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO502612203Medicaid
MO000011931Medicare PIN
MO000060276Medicare PIN