Nick Balarama Rodriguez, AA

Anesthesiologist Assistant · Saint Louis, MO

Individual Active NPI

NPI number 1043997190

Practice location

615 S New Ballas Rd Dept of
Saint Louis, MO 63141-8221
Phone
(636) 386-9224
Fax
(636) 386-7679

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NPI record

NPI
1043997190
Entity type
Individual (Type 1)
Enumeration date
June 30, 2023
Last updated
March 4, 2026
Certified
March 4, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiologist Assistant Primary 367H00000X AA2024-0006 NM
Anesthesiologist Assistant 367H00000X PENDING MO

Mailing address

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

Other practice locations (2)

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

About Nick Rodriguez

Nick Balarama Rodriguez, AA is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiologist Assistant (code 367H00000X). The practice location is 615 S New Ballas Rd Dept of, Saint Louis, MO 63141-8221. The NPI number 1043997190 was assigned on June 30, 2023 and the record was last updated on March 4, 2026.

Nick Rodriguez lists 2 licenses in the registry: #AA2024-0006 (NM) for Anesthesiologist Assistant; #PENDING (MO) for Anesthesiologist Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nick Balarama Rodriguez, AA?

The NPI number is 1043997190.

What is the phone number of Nick Rodriguez?

The phone number listed for the practice location is (636) 386-9224.

Where is Nick Rodriguez located?

615 S New Ballas Rd Dept of, Saint Louis, MO 63141-8221.

What is the taxonomy code for Nick Rodriguez?

The primary taxonomy code is 367H00000X – Anesthesiologist Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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