YURI TSIRULNIKOV DO MHA LLC (NPI# 1073774188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073774188 |
| Entity Type | Organization |
| Organization Name | YURI TSIRULNIKOV DO MHA LLC |
| Practice Address |
2525 Glenn Hendren Dr Liberty MO 64068-9625 |
| Mailing Address |
5624 W 134th Ter Apt 1435 Overland Park KS 66209-4056 |
| Practice Telephone | 8167817200 |
| Mailing Telephone | 3195415940 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2010-08-18 |
| Authorized Official Name | YURI TSIRULNIKOV (OWNER) |
| Authorized Official Telephone | 3195415940 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
2008010728 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MO LICENSE | 2008010728 | 01 |
| Street Address |
2525 GLENN HENDREN DR |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-9625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265945 | Tyron A Townsend | Anesthesiologist Assistant | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2005-06-14 |
| 1841811759 | Sharla Sue Leon | Speech-Language Pathologist | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2020-05-01 |
| 1437793924 | Jordan Colyer | Registered Nurse | 2525 Glenn Hendren Dr, Liberty, MO 64068-9600 | 2019-10-29 |
| 1922667054 | Abdulrahman B Derbas | Anesthesiologist Assistant | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2019-06-12 |
| 1568940880 | William Jackson Redmond | Specialist/Technologist | 2525 Glenn Hendren Dr, Liberty, MO 64068-9600 | 2018-07-30 |
| 1336646736 | Liberty Hospital Emergency Medicine Physicians, LLC | Emergency Medicine | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2018-04-11 |
| 1235673872 | Deer Valley Emergency Physicians LLC | Physician Assistant | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2016-12-16 |
| 1760925002 | Kelsey Koehler | Anesthesiologist Assistant | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2016-11-18 |
| 1679926455 | Michael Scott Beeler | Anesthesiologist Assistant | 2525 Glenn Hendren Dr, Anesthetic Dept, Liberty, MO 64068-9625 | 2016-07-18 |
| 1013369727 | Laura M Lee | Nurse Anesthetist, Certified Registered | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2016-07-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467640235 | Shavonne L. Danner, M.d., L.L.C. | Anesthesiology | 2525 Glenn Henden Dr, Liberty, MO 64068 | 2007-10-05 |
| 1508034828 | James F Piontek Inc | Anesthesiology | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2008-02-20 |
| 1972728582 | Shavonne L Danner | Anesthesiology | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2007-04-17 |
| 1922053461 | Professional Anesthetic Care Inc | Anesthesiology | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2006-05-23 |
| 1932182763 | Susan Renee Anderson-jones | Anesthesiology | 2525 Glenn Hendren Dr, Pain Management, Liberty, MO 64068-9625 | 2005-11-25 |
| 1114913886 | James Piontek | Anesthesiology | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2005-09-27 |
| 1184610990 | Thomas Porter | Anesthesiology | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2005-09-27 |
| 1477549327 | Kevin F Knop | Anesthesiology | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2005-09-26 |
| 1689660524 | Keith W Neuenswander | Anesthesiology | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679088900 | Midwest Pain Management Clinic LLC | Anesthesiology | 1011 Old Olive Way Apt 403, Creve Coeur, MO 63141-5959 | 2017-12-08 |
| 1235579749 | Nicki D Rippeteau | Anesthesiology | 4606 E 184th St, Belton, MO 64012-8323 | 2013-06-28 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| 1265794911 | Regeneration Orthopedics, LLC | Anesthesiology | 6 Mcbride & Son Center Dr., Ste 204, Chesterfield, MO 63005 | 2012-06-08 |
| 1265727572 | Rebecca A Sanders | Anesthesiology | 1002 Mcintosh Cir Ste 6, Joplin, MO 64804-3600 | 2011-06-15 |
| 1457655748 | Melrich Inc | Anesthesiology | 625 Cannonbury Dr, Saint Louis, MO 63119-5312 | 2010-12-31 |
| 1700016250 | Oluseyi Fadegbola Ogundimu | Anesthesiology | 661 Fisher Dr, Sullivan, MO 63080-1533 | 2009-07-17 |
| 1225171648 | Benjamin A Lampert | Anesthesiology | 1730 E Portland St, Springfield, MO 65804-1311 | 2007-02-15 |
| 1972651578 | Advanced Pain Specialists, Inc. | Anesthesiology | 7510 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2007-01-08 |
| 1750441374 | James M. Sturm | Anesthesiology | 856 Waterbury Falls Dr Ste 100, O Fallon, MO 63368-2219 | 2006-12-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.