MARK ANDREW RANDTKE


Address: 2100 Se Blue Pkwy, Lees Summit, MO 64063-1007
Phone: 8162825000

MARK ANDREW RANDTKE (NPI# 1184183436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184183436
Entity Type Individual
Full Name MARK ANDREW RANDTKE
Credential CRNA
Practice Address 2100 Se Blue Pkwy
Lees Summit
MO 64063-1007
Mailing Address 8717 W 110th St Ste 600
Overland Park
KS 66210-2126
Practice Telephone 8162825000
Mailing Telephone 9134282900
Mailing Fax Number 9134282951
Enumeration Date 2019-03-17
Last Update Date 2020-09-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 2020024635 MO Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3000 New Bern Ave, Raleigh, NC 276101231 7852181301

Office Location

Street Address 2100 SE BLUE PKWY
City LEES SUMMIT
State MO
Zip Code 64063-1007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316942667 John Frederick Eurich IIi Radiology 2100 Se Blue Pkwy, Lees Summit, MO 64063-1007 2005-06-14
1194342576 Ajay Bhaskar Iyer Student in an Organized Health Care Education/Training Program 2100 Se Blue Pkwy, Lees Summit, MO 64063-1007 2020-07-01
1033736772 Jason Chaney Student in an Organized Health Care Education/Training Program 2100 Se Blue Pkwy, Lees Summit, MO 64063-1007 2020-06-29
1679190318 Sarina Shanna Rao Student in an Organized Health Care Education/Training Program 2100 Se Blue Pkwy, Lees Summit, MO 64063-1007 2020-06-29
1710502042 Johnathon Franklin Phillips Student in an Organized Health Care Education/Training Program 2100 Se Blue Pkwy, Lees Summit, MO 64063-1007 2020-06-12
1912522236 Saira Irfan Memon Student in an Organized Health Care Education/Training Program 2100 Se Blue Pkwy, Lees Summit, MO 64063-1007 2020-06-11
1942825328 Alexandria Nicole Dennison Student in an Organized Health Care Education/Training Program 2100 Se Blue Pkwy, Lees Summit, MO 64063-1007 2020-06-11
1205451655 Mattias Dino D'anna Student in an Organized Health Care Education/Training Program 2100 Se Blue Pkwy, Lees Summit, MO 64063-1007 2020-06-11
1457976839 Minar Rane Student in an Organized Health Care Education/Training Program 2100 Se Blue Pkwy, Lees Summit, MO 64063-1007 2020-06-11
1235754722 David James Knauss Student in an Organized Health Care Education/Training Program 2100 Se Blue Pkwy, Lees Summit, MO 64063-1007 2020-06-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649895533 Ian Christopher Fekete Student in an Organized Health Care Education/Training Program Lee's Summit Medical Center, 2100 Se Blue Pkwy, Lee's Summit, MO 64063 2020-06-16
1083268403 Rachelle Colyer Physical Therapist 298 Sw Blue Pkwy, Lee's Summit, MO 64063 2019-07-25
1326504200 Brenda Michelle Brown Physical Therapist 2160 Se Blue Parkway Addington Place, 2160 Seblue Parkway, Lee's Summit, MO 64063 2019-02-15
1528545068 Bayada Home Health Care, Inc. Home Health 600 Sw Jefferson St Ste 101, Lees Summit, MO 64063 2018-07-27
1972089118 Summit Integrative Dental (bromley, D.d.s. and Broyles, D.d.s.), P.C. Dentist 688 Se Bayberry Lane, Suite 101, Lee's Summit, MO 64063 2018-07-11
1104327576 Molly Moore Mcgraw Davidson Nurse Practitioner 2000 Se Blue Pkwy Ste 270a, Lees Summit, MO 64063 2018-02-21
1821507591 Joshua Greenwell Chiropractor 1634 Se Blue Pkwy, Lee's Summit, MO 64063 2017-09-26
1457870651 Tlc Home Healthcare Consulting Inc Registered Nurse 109 Sw Madison St, Lee's Summit, MO 64063 2017-09-19
1053834622 Kristin E Schwartz Advanced Practice Midwife 2000 Se Blue Pkwy Ste 220, Lees Summit, MO 64063 2017-07-25
1316493828 Laura Ballantyne Speech-Language Pathologist 600 Se Miller St, Lees Summit, MO 64063 2016-08-26
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy 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 resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437784329 Apollo Medical Group of Lee's Summit LLC Nurse Anesthetist, Certified Registered 2861 Ne Independence Ave Ste 101, Lees Summit, MO 64064-2379 2020-03-11
1700986239 Edith A Payne Nurse Anesthetist, Certified Registered 250 Ne Mulberry St Ste 202, Sjs Medical Management, Lees Summit, MO 64086-4533 2006-09-24
1811945405 Dennis M Mcdonough Nurse Anesthetist, Certified Registered 2313 Nw Summerfield Dr, Lees Summit, MO 64081-1921 2006-05-05
1376040832 Amy Brown Nurse Anesthetist, Certified Registered 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 2018-04-11
1316472590 Timothy Allen Palmer Nurse Anesthetist, Certified Registered 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 2017-04-26
1144582644 Paula E. Gough Nurse Anesthetist, Certified Registered 2100 Se Blue Pkwy, Lees Summit, MO 64063-1007 2012-06-11
1194039768 Jeremy M Greenhagen Nurse Anesthetist, Certified Registered 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 2010-08-05
1215241401 Derek C Thomas Nurse Anesthetist, Certified Registered 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 2010-07-30
1801122361 Midwest Digestive Health Center, LLC Nurse Anesthetist, Certified Registered 3601 Ne Ralph Powell Rd, Lees Summit, MO 64064-2357 2009-10-19
1578705703 Stan D Avery Nurse Anesthetist, Certified Registered 100 Ne Saint Lukes Blvd, Lees Summit, MO 64086-6000 2009-04-02
Find all providers in LEES SUMMIT

Competitor

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City LEES SUMMIT
Zip Code 64063

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Dataset Information

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.

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