Gregory Jackson Aycock
Anesthesiologist Assistant
615 S New Ballas Rd Dept Of, Saint Louis
Missouri, 63141-8221
636-386-9224 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.