- Practice location
- 1120 Technology Dr Ste 113B, O Fallon, MO 63368-2201
- Phone
- 617-693-5767
- Fax
- 866-450-0941
- Last updated
- July 15, 2026
Anna Medical Group PA is a healthcare organization based in O Fallon, MO. Anna Medical Group PA practices in O Fallon, MO. The NPI Number for Anna Medical Group PA is 1609730886. The current practice location address for Anna Medical Group PA is 1120 Technology Dr Ste 113B, O Fallon, MO 63368-2201 and can be reached out via phone at 617-693-5767 and via fax at 866-450-0941.
Provider Profile Details
- NPI Number
- 1609730886
- Provider Name
- Anna Medical Group PA
- Provider Entity Type
- Organization
- Address
- 1120 Technology Dr Ste 113B, O Fallon, MO 63368-2201
- Phone Number
- 617-693-5767
- Fax Number
- 866-450-0941
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Shayna Walker, MD · Owner · 617-693-5767
- Provider Enumeration Date
- December 12, 2025
- Last Update Date
- July 15, 2026
- Certification Date
- July 15, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1120 Technology Dr Ste 113B
O Fallon, MO 63368-2201 - City
- O Fallon
- State
- Missouri
- Zip
- 63368-2201
- Phone Number
- 617-693-5767
- Fax Number
- 866-450-0941
Provider Business Mailing Address Details
- Address
- 19266 Coastal Hwy Unit 41112
Rehoboth Beach, DE 19971-6117 - City
- Rehoboth Beach
- State
- DE
- Zip
- 19971-6117
- Phone Number
- 617-693-5767
- Fax Number
- 866-450-0941
License Information
- Taxonomy (1)
- Behavior Analyst · 103K00000X
- Taxonomy (2)
- Psychologist · 103T00000X
- Taxonomy (3)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near O Fallon, MO
View all Family Medicine providers in O Fallon →Frequently Asked Questions
What is the NPI number of Anna Medical Group PA?
The NPI number of Anna Medical Group PA is 1609730886. It was assigned on December 12, 2025 and is currently active in the NPPES registry.
What is the specialty of Anna Medical Group PA?
Anna Medical Group PA is registered under the primary taxonomy Family Medicine (code 207Q00000X).
Where does Anna Medical Group PA practice?
The practice location is 1120 Technology Dr Ste 113B, O Fallon, MO 63368-2201. The office can be reached at 617-693-5767 (phone) or 866-450-0941 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609730886 directly on the NPPES registry website.