Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Austin Southmayd, PA-CMLS

Individual provider Physician Assistant · NPI 1275240152

Austin Southmayd, PA-CMLS is a Physician Assistant in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022

Practice location Address checks out

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (314) 251-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2022043266 (MO)

Record details

NPI number1275240152
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-CMLS
Sole proprietorNo
NPI enumeratedNovember 1, 2022
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022

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