Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANNA MEDICAL GROUP PA
NPI 1609730886
Family Medicine in O Fallon, MO

Active since December 12, 2025
1120 TECHNOLOGY DR STE 113B, O FALLON, MO 63368(617) 693-5767(866) 450-0941 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2026, May 29, 2026, Dec 15, 2025 and 1 more (4 updates tracked since 2025).

About Anna Medical Group Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNA MEDICAL GROUP PA (NPI 1609730886) is a healthcare organization registered as a family medicine in O Fallon, Missouri and active in the NPI registry since December 2025. The organization lists Shayna Walker, Owner, as its authorized official.

NPPES Registry Identity

NPI1609730886
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameANNA MEDICAL GROUP PA
Location Address1120 TECHNOLOGY DR STE 113BO Fallon, MO 63368-2201
Mailing Address19266 Coastal Hwy Unit 41112Rehoboth Beach, DE 19971-6117 · (617) 693-5767 · Fax (866) 450-0941
Fax(866) 450-0941
Organization SubpartNo
Authorized OfficialShayna WalkerOwner · (617) 693-5767
Enumeration DateDecember 12, 2025
Last NPPES UpdateJuly 15, 20264 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1609730886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedPsychologistTaxonomy 103T00000X
1120 TECHNOLOGY DR STE 113B, O Fallon, MO 63368

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anna Medical Group PA's NPI number?

The NPI number for Anna Medical Group PA is 1609730886. It was assigned to this organization in the NPPES registry on December 12, 2025.

Where is Anna Medical Group PA located?

Anna Medical Group PA is located at 1120 Technology Dr Ste 113B, O Fallon, MO 63368. The listed phone number is (617) 693-5767.

What is Anna Medical Group PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Anna Medical Group PA was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.