SJ PAIN ASSOCIATES, INC (NPI# 1528248291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528248291 |
| Entity Type | Organization |
| Organization Name | SJ PAIN ASSOCIATES, INC |
| Practice Address |
1000 Carondelet Dr Kansas City MO 64114-4673 |
| Mailing Address |
10310 State Line Rd Suite A Leawood KS 66206-2658 |
| Practice Telephone | 8169433100 |
| Mailing Telephone | 9136474100 |
| Mailing Fax Number | 9136474120 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |
| Authorized Official Name | DR. VINCENT G. JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 8169433100 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1000 CARONDELET DR |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-4673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363838 | Carondelet Emergency Physicians Inc | Emergency Medicine | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2005-06-01 |
| 1871117465 | Kensey Demoss | Speech-Language Pathologist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2020-05-30 |
| 1447882345 | Sean Hudson | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2020-02-08 |
| 1174162556 | Alexandra Rozman-o'neill | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2020-01-02 |
| 1992344691 | Mary Davidson | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2019-12-27 |
| 1053959825 | Fadia Khuffash | Pharmacist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2019-12-12 |
| 1144868969 | Amanda K Howell | Nurse Practitioner | 1000 Carondelet Dr, Ste 201b, Kansas City, MO 64114-4673 | 2019-12-11 |
| 1174160485 | Melissa Ann Dusenberry | Nurse Practitioner | 1000 Carondelet Dr, Ste 201b, Kansas City, MO 64114-4673 | 2019-12-05 |
| 1821578501 | Amanda Hocker | Clinical Nurse Specialist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-08-21 |
| 1336634294 | Amanda K Goldsmith | Nurse Practitioner | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2018-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| 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 |
|---|---|---|---|---|
| 1265400980 | Jennifer A. Elliott | Anesthesiology | 4321 Washington St Ste 1200, Kansas City, MO 64111-5905 | 2006-03-09 |
| 1124008123 | Sonali Agarwal | Anesthesiology | 8860 Ne 82nd Terrace, Kansas City, MO 64158-1600 | 2006-01-18 |
| 1316367824 | Christopher Lam | Anesthesiology | 3901 Rainbow Blvd # Ms 1034, Kansas City, KS 66160 | 2014-04-23 |
| 1679714885 | Andrea Nicol | Anesthesiology | 3901 Rainbow Blvd, Mailstop 1034, Kansas City, KS 66160-8500 | 2009-03-18 |
| 1437239191 | St. Luke's Hospital | Anesthesiology | 4400 Wornall Rd, Kansas City, MO 64111-3238 | 2006-10-17 |
| 1629178090 | John J Breth | Anesthesiology | 3901 Rainbow Blvd, 4070 Delp Mail Stop 4017, Kansas City, KS 66160 | 2006-09-25 |
| 1285744458 | Dwayne Jones, Md, LLC | Anesthesiology | 2790 Clay Edwards Dr, Kansas City, MO 64116-3276 | 2006-08-30 |
| 1184737033 | Norbert Wayne Brown | Anesthesiology | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2006-08-16 |
| 1659384188 | St Joseph Anesthesia Services, P.C. | Anesthesiology | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2006-08-14 |
| 1083627525 | Charles Richard Venneman II | Anesthesiology | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2006-08-14 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
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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.