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

Dr. Randy S Fatheree, DO

Individual provider Anesthesiology Physician · NPI 1780671065

Dr. Randy S Fatheree, DO is an Anesthesiology in Saint Peters, Missouri. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 1995, 31 years ago. Practices with Jacksonville Crnas Inc, a 17-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
31
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
MO
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

10 Hospital Dr
Saint Peters, MO 63376-1659
Phone: (314) 895-3828
Fax: (314) 895-3827
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 108473 (MO)

Record details

NPI number1780671065
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 3, 2005
Last updated in NPPESMarch 28, 2010
Mailing addressPo Box 5, Hazelwood, MO 63042-0005

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 1995 (31 years in practice)
Group practice Jacksonville Crnas Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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