Individual provider · Type 1 NPI

Nick Balarama Rodriguez, AA

Anesthesiologist Assistant · St. Louis, MO

NPI number 1043997190 Active

Practice location

615 S New Ballas Rd Dept Of
St. Louis, MO 63141-8221

Call (636) 386-9224 Map

Fax (636) 386-7679

Mailing address

800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310

Other practice locations

2211 Lomas Blvd NE, Albuquerque, NM 87106-2719 · (505) 272-2111
455 Saint Michaels Dr, Santa Fe, NM 87505-7601 · (505) 391-1085

Specialties and licenses

Taxonomy	Code	License
Anesthesiologist Assistant	367H00000X	PENDING (MO)
Anesthesiologist Assistant Primary	367H00000X	AA2024-0006 (NM)

Anesthesiologist Assistant: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist …

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About NPI 1043997190

Nick Balarama Rodriguez, AA's National Provider Identifier is 1043997190, issued on Jun 30, 2023. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 4, 2026.