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Search › Missouri › Anesthesiologist Assistant

Justin Ellingworth, CAA

NPI 1780243451 · on the registry since 2019

Practice

Address
1465 S Grand Blvd
Saint Louis, MO 63104
Phone
(314) 617-2000
Organisation at this address
Lifenet, Inc.
St Louis University
St Louis University
St Louis University
St Louis University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
533

Additional practice sites

  • 705 Riley Hospital Dr, Indianapolis, IN

Registry record

Primary taxonomy
Anesthesiologist Assistant
367H00000X
Also registered as
Anesthesiologist Assistant
Licence states on file
IN, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri