Gregory Jackson Aycock is a pharmacist who is specialized in Anesthesiologist Assistant in Saint Louis, Missouri. Patients can reach him at 615 S New Ballas Rd Dept Of, Saint Louis or contact him on 636-386-9224. Active license number of Gregory Jackson Aycock is PENDING for Anesthesiologist Assistant in Missouri. Gregory Jackson Aycock is 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.
Complete Profile:
Gregory Jackson Aycock speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
Name:
Gregory Jackson Aycock
Specialization:
Anesthesiologist Assistant
Credentials:
CAA
Gender:
Male
Location:
615 S New Ballas Rd Dept Of, Saint Louis, Missouri, 63141-8221
Phone:
636-386-9224
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details of Gregory Jackson Aycock are as mentioned below.
NPI Number:
1215924527
NPI Enumeration Date:
03 Oct, 2005
NPI Last Update On:
21 Nov, 2024
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gregory Jackson Aycock are as mentioned below.
Specialization
License Number
State
Status
Anesthesiologist Assistant
PENDING
Missouri
Primary
Pharmacist
PS40328
Florida
Secondary
Pharmacist
17641
North Carolina
Secondary
Anesthesiologist Assistant
75000176A
Indiana
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Gregory Jackson Aycock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1103727700
Other
Indiana
Anthem Ptan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
339 Consort Dr, Ballwin, Missouri
Zip:
63011-4439
Phone Number:
636-386-9224
Fax Number:
636-386-7679
Patients can reach Gregory Jackson Aycock at 615 S New Ballas Rd Dept Of, Saint Louis, Missouri or can call on phone at 636-386-9224.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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