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Gregory Jackson Aycock, CAA
Anesthesiologist Assistant in Saint Louis, Missouri
NPI 1215924527

Gregory Jackson Aycock is an Anesthesiologist Assistant based in Ballwin, MO. Gregory Jackson Aycock practices in Saint Louis, MO and has the professional credentials of CAA. The NPI Number for Gregory Jackson Aycock is 1215924527 and holds a License No. PS40328 (Missouri).

The current practice location address for Gregory Jackson Aycock is 615 S New Ballas Rd Dept Of, Saint Louis, MO and can be reached out via phone at 636-386-9224.

Location: 615 S New Ballas Rd Dept Of, Saint Louis, MO, 63011-4439
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Provider Profile Details
NPI Number
1215924527
Provider Name
Gregory Jackson Aycock
Credential
CAA
Provider Entity Type
Individual
Gender
Male
Address
615 S New Ballas Rd Dept Of, Saint Louis, MO, 63011-4439
Phone Number
636-386-9224
Fax Number
Provider Enumeration Date
10/03/2005
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1103727700 01 IN ANTHEM PTAN
institution
Provider Business Practice Location Address Details
Address
615 S New Ballas Rd Dept Of
City
State
Zip
63141-8221
Phone Number
636-386-9224
Fax Number
person
Provider Business Mailing Address Details
Address
615 S New Ballas Rd Dept Of
City
State
Zip
63141-8221
Phone Number
636-386-9224
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
17641 (North Carolina)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Anesthesiologist Assistant
Speciality
-
Taxonomy
License No.
PS40328 (Florida)
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
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