Individual provider · Type 1 NPI

Justin Ross Ellingworth, CAA

Anesthesiologist Assistant · St. Louis, MO

NPI number 1780243451 Active

Practice location

1465 S Grand Blvd
St. Louis, MO 63104-1003

Call (314) 617-2000 Map

Mailing address

950 N Meridian St Ste 500
Indianapolis, IN 46204-3908

Other practice locations

  • 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 · (317) 944-9981

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant 367H00000X75000041A (IN)
Anesthesiologist Assistant Primary 367H00000X2025024808 (MO)

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 1780243451

Justin Ross Ellingworth, CAA's National Provider Identifier is 1780243451, issued on Jun 6, 2019. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2025.