Nailah Newkirk, C-AA
Anesthesiologist Assistant in Saint Louis, MO. Individual provider (NPI-1).
NPI number1164044921
StatusActive
Last updated in NPPESAug 27, 2020
Details
- NPI
- 1164044921
- Entity type
- Individual (NPI-1)
- Name
- Ms. Nailah Newkirk
- Credential
- C-AA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 14, 2020
- Certification date
- Aug 27, 2020
- Last updated
- Aug 27, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ANESTHESIOLOGY ASSISTANT
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 2020027750 | MO | Yes |
Practice location
615 S New Ballas RdSaint Louis, MO 63141-8221
Phone 636-386-9224 · Fax 636-200-4243
Mailing address
339 Consort DrBallwin, MO 63011-4439
Phone 636-386-9224 · Fax 636-200-4243
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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