NPI 1609730886 · live from the CMS NPI Registry
Anna Medical Group PA
Family Medicine in O Fallon, MO. National Provider Identifier 1609730886, active.
NPI record
| NPI | 1609730886 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1120 Technology Dr Ste 113b, O Fallon, MO 63368 |
| Practice phone | 617-693-5767 |
| Mailing address | 19266 Coastal Hwy Unit 41112, Rehoboth Beach, DE 19971 |
| Enumerated | December 12, 2025 |
| Last updated | July 15, 2026 |
| Authorized official | Shayna Walker, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Psychologist | 103T00000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.