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

Daniel J Richardson, C-AA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073395232

Daniel J Richardson, C-AA is an Anesthesiology Assistant in Saint Louis, Missouri. Graduated from Nova Southeastern Univ College of Dental Medicine in 2024, 2 years ago. Practices with South County Anesthesia Associates Ltd, a 81-clinician group and accepts Medicare assignment.

Years since qualifying
2
Trained at
Nova Southeastern Univ College of Dental Medicine
In the registry since
2023
Specialties on file
2

Practice location Address checks out

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone: (314) 525-1000
Show map & directions

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

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence PENDING

Record details

NPI number1073395232
Entity typeIndividual (Type 1)
GenderMale
Credentials C-AA
Sole proprietorNo
NPI enumeratedOctober 20, 2023
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolNOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated 2024 (2 years in practice)
Group practice South County Anesthesia Associates Ltd — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Louis