Derek Anderson is a Home Health Agency based in Saint Louis, MO. Derek Anderson practices in Saint Louis, MO. The NPI Number for Derek Anderson is 1497416598 and holds a License No. 2010014757 (Missouri).
The current practice location address for Derek Anderson is 3624 N 14Th St, Saint Louis, MO and can be reached out via phone at 314-541-8131.
Location: 3624 N 14Th St, Saint Louis, MO, 63107-3703
Provider Profile Details
NPI Number
1497416598
Provider Name
Derek Anderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
3624 N 14Th St, Saint Louis, MO, 63107-3703
Phone Number
314-541-8131
Fax Number
Provider Enumeration Date
01/01/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
3624 N 14Th St
City
State
Zip
63107-3703
Phone Number
314-541-8131
Fax Number
Provider Business Mailing Address Details
Address
3624 N 14Th St
City
State
Zip
63107-3703
Phone Number
314-541-8131
Fax Number
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Surgical Assistant
Taxonomy
License No.
2010014757 (Missouri)
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
2010014757 (Missouri)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
2010014757 (Missouri)
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
2010014757 ()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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