# ANNA MEDICAL GROUP PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609730886
- **Authorized official:** SHAYNA WALKER MD (OWNER)
- **Authorized official phone:** (617) 693-5767

## Contact information

- **Practice address:** 1120 TECHNOLOGY DR STE 113B, O FALLON, MO 63368-2201
- **Practice address phone:** (617) 693-5767
- **Practice address fax:** (866) 450-0941
- **Mailing address:** 19266 COASTAL HWY UNIT 41112, REHOBOTH BEACH, DE 19971-6117
- **Mailing address phone:** (617) 693-5767
- **Mailing address fax:** (866) 450-0941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2025
- **Last updated:** 07/15/2026