Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN ROSS ELLINGWORTH, CAA
ActiveJUSTIN ROSS ELLINGWORTH, CAA is a Anesthesiologist Assistant healthcare provider located in SAINT LOUIS, Missouri. NPI 1780243451 is currently active in the NPPES registry. Verify at CMS.
Anesthesiologist Assistant · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1780243451
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2019 (7.1469621927643 yrs)
- Last Updated
- Jul 8, 2025
- Licenses
-
75000041A (IN)2025024808 (MO)
Practice Information
- Address
-
1465 S GRAND BLVDSAINT LOUIS, MO, 631041003Browse MO providers · Browse ZIP 63104
- Phone
- 3146172000
- Primary Specialty
-
Anesthesiologist Assistant
367H00000X
- Additional Specialty
- Anesthesiologist Assistant
Other Anesthesiologist Assistant Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| BENJAMIN A YODER | AA | 1942205281 |
| MR. THOMAS WOLF JR. | C-AA | 1457348054 |
| GREGORY JACKSON AYCOCK | CAA | 1215924527 |
| MR. DANIEL D BATES | AA | 1154571917 |
| KATHLEEN ELIZABETH ANDERSEN | KATHLEEN KNEBELSBERG | 1306097464 |
| AILEEN MARIE POTT | — | 1124254511 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.