Leavenworth Anesthesia Pa in Leavenworth - Nurse Anesthetist, Certified Registered
Leavenworth Anesthesia Pa - NPI 1679555262
Leavenworth Anesthesia Pa is a Nurse Anesthetist, Certified Registered in Leavenworth, Kansas. Leavenworth Anesthesia Pa practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Leavenworth Anesthesia Pa is 1679555262. The last update date is 2008-04-20.
Leavenworth Anesthesia Pa's current location address is 605 Shawnee St, Leavenworth, Kansas. You can contact this provider via phone number 9136800812 and fax number 9136801445. The mailing address for Leavenworth Anesthesia Pa is 605 Shawnee St, Leavenworth, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Leavenworth Anesthesia Pa |
|---|---|
| Address | 605 Shawnee St, Leavenworth, Kansas |
| Phone Number | 9136800812 |
| Fax Number | 9136801445 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Covillo M Jean |
| Credentials | CRNA |
| Telephone Number | 9136800812 |
NPI Number Detail
| NPI Number | 1679555262 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 605 Shawnee St |
|---|---|
| City | Leavenworth |
| State | Kansas (KS) |
| Post Code | 660481958 |
| Phone Number | 9136800812 |
| Fax Number | 9136801445 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10811021 | MO | BCBS KANSAS CITY | |
| CI9911 | KS | RR MEDICARE | |
| 10811021 | PREFERRED HEALTH PROFESSI | ||
| C19910 | KS | RAILROAD MEDICARE | |
| DC6685 | MO | RR MEDICARE | |
| 4640 | KS | BCBS | |
| CD7473 | MO | RAILROAD MEDICARE | |
| DC6685 | MO | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Leavenworth Anesthesia Pa by the Centers for Medicare & Medicaid Services?
The Leavenworth Anesthesia Pa has been assigned the NPI (National Provider Identifier) 1679555262 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Leavenworth Anesthesia Pa's physical address?
The Leavenworth Anesthesia Pa is physically located at 605 Shawnee St, in the city of Leavenworth, KS, with the postal code 660481958.
What is Leavenworth Anesthesia Pa's area of expertise and its corresponding taxonomy classification?
The Leavenworth Anesthesia Pa's field of specialization is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1679555262 to Leavenworth Anesthesia Pa?
The Centers for Medicare & Medicaid Services assigned the 1679555262 to Leavenworth Anesthesia Pa on 2005-11-18.
As of what date was the information pertaining to Leavenworth Anesthesia Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Leavenworth Anesthesia Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-20.