Individual provider · Type 1 NPI

Emerald Skai Lassiter, PA-C

Physician Assistant · Maryville, IL

NPI number 1942911953 Active

Practice location

6812 State Route 162 Ste 200
Maryville, IL 62062-8562

Call (618) 288-0900 Map

Fax (314) 576-3514

Mailing address

PO Box 14369
St. Louis, MO 63178-4369

Other practice locations

  • 326 Fountains Pkwy, Fairview Heights, IL 62208-2041 · (618) 277-3109
  • 12855 N 40 Dr Ste 375, St. Louis, MO 63141-8657 · (314) 567-6071
  • 3 Saint Elizabeth Blvd Ste 3200, O Fallon, IL 62269-1281 · (618) 277-3109

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085012264 (IL)
Physician Assistant 363A00000X2026017186 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

8 other providers at this address

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About NPI 1942911953

Emerald Skai Lassiter, PA-C's National Provider Identifier is 1942911953, issued on Dec 9, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Maryville, IL. The record was last updated on Jun 30, 2026.