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Active NPI 1902779051 Individual Practitioner Male Practitioner

Jackson W Mckim , CAA

Anesthesiologist Assistant • Saint Louis, MO

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jackson Mckim, CAA is a registered Anesthesiologist Assistant practitioner in Saint Louis, MO. With approximately 1 years of clinical practice since graduating from Emory University School Of Medicine in 2025, Jackson Mckim provides healthcare services at the registered practice location at 615 S NEW BALLAS RD.

Jackson Mckim is affiliated with Western Anesthesiology Associates Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

615 S New Ballas Rd

Saint Louis, MO 631418221

Telephone 3142516000
Fax 6363867679
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Saint Louis, MO

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -5.3 yrs vs City Avg
City Avg: 6.3 Yrs
State Avg: 9.3 Yrs
Regional Practice Density
175 Specialists

Practicing in Saint Louis, MO (312 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mckim (1 Years) 1 Yrs
Saint Louis Specialty Average (6.3 Years) 6.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-25
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License MO PENDING

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 Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Hospital & Practice Group Affiliations

Western Anesthesiology Associates Inc

615 S New Ballas Rd, Saint Louis, MO 631418221

Phone: 3142514687

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Mary Beth Walker , FNP

Nurse Practitioner - Family

NPI 1003309147

Family Nurse Practitioner

Sheby Thomas , AA-S

Anesthesiologist Assistant

NPI 1013443415

AAS

Caren Birkenkamp , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013769744

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Emily Crews

Nurse Anesthetist, Certified Registered

NPI 1013862606
Dr. Sabine Latham , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1023256997

Doctor of Medicine (M.D.)

Catherine Morton

Nurse Practitioner

NPI 1023602653

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 25, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2025

Registered at 615 S NEW BALLAS RD, SAINT LOUIS, MO 631418221 (Tel: 3142516000)

📍
Updated Business Mailing Address September 25, 2025

Registered at 339 CONSORT DR, BALLWIN, MO 630114439 (Tel: 6363869224)

👤
Provider Name / Credentials Updated September 25, 2025

Recorded as JACKSON MCKIM, CAA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2025

Anesthesiologist Assistant (License #PENDING in MO)

🟢
Initial NPI Registration & Enumeration September 25, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902779051
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2025
Last Update: September 25, 2025
Sole Proprietor: No

Mailing Address

339 Consort Dr

Ballwin, MO 630114439

Phone: 6363869224

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.