PRO PAIN
NPI 1689947202
Clinic/Center - Pain in Fenton, MO

Active since February 13, 2012CLIA 26D2015380 · Waiver
1055 BOWLES AVE, SUITE 200, FENTON, MO 63026(636) 496-3900(636) 386-1170 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pro Pain NPPES

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

PRO PAIN (NPI 1689947202) is a healthcare organization registered as a pain in Fenton, Missouri and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists Donna L Rau, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1689947202
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameSOUTH COUNTY ANESTHESIA ASSOCIATES, LTD
Location Address1055 BOWLES AVE, SUITE 200Fenton, MO 63026-2308
Mailing AddressPo Box 22407Saint Louis, MO 63126-0407 · (636) 386-7222 · Fax (636) 386-1170
Fax(636) 386-1170
Organization SubpartYesParent: South County Anesthesia Associates, Ltd.
Authorized OfficialDonna L RauOffice Manager · (636) 386-7222
Enumeration DateFebruary 13, 2012
Last NPPES UpdateJanuary 8, 2013
NPI 1689947202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
1055 BOWLES AVE, Fenton, MO 63026

Other Names 1

Doing Business AsPro Pain

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2015380

Pro Pain, LLC · Fenton, MO
Active · expires Oct 25, 2026
CLIA Number26D2015380
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorMichael Boedefeld
Laboratory Phone(636) 496-3900
Laboratory LocationPro Pain, LLC1055 Bowles Ave, Fenton, MO 63026
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
1055 BOWLES AVE, STE 100
FENTON, MO 63026
Nurse Anesthetist, Certified Registered
1055 BOWLES AVE
FENTON, MO 63026
Physician Assistant
1055 BOWLES AVE
FENTON, MO 63026

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 South County Anesthesia Associates, Ltd's NPI number?

The NPI number for South County Anesthesia Associates, Ltd is 1689947202. It was assigned to this organization in the NPPES registry on February 13, 2012. The provider is doing business as Pro Pain.

Where is South County Anesthesia Associates, Ltd located?

South County Anesthesia Associates, Ltd is located at 1055 Bowles Ave Suite 200, Fenton, MO 63026. The listed phone number is (636) 496-3900.

What is South County Anesthesia Associates, Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Does South County Anesthesia Associates, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2015380) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South County Anesthesia Associates, Ltd was last updated on January 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.