JACOB DUSSELIER (NPI# 1750941456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750941456 |
| Entity Type | Individual |
| Full Name | JACOB DUSSELIER |
| Practice Address |
2401 Gillham Rd Kansas City MO 64108-4619 |
| Practice Telephone | 8162343000 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 2019020369 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2401 GILLHAM RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921533 | Brent Ellis Cully | Radiology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2005-06-13 |
| 1649878265 | Noelle Elise St. Jacques | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-10-15 |
| 1376150243 | Casey M Bradshaw | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-25 |
| 1457967606 | Jennifer Coil | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-22 |
| 1396359923 | Kelli Nicole Ayars | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-01 |
| 1407460058 | Eric Bowles | Health Educator | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-01 |
| 1740892504 | Katlyn Kelley | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-21 |
| 1528670759 | Sarah Carstensen | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-19 |
| 1619588373 | Kacie E Cass | Health Educator | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-14 |
| 1932719259 | Maureen Elizabeth Guignon | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356966485 | Ashley Ann Eichelberger | Anesthesiologist Assistant | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-06-15 |
| 1831719673 | Angela Shupe | Anesthesiologist Assistant | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-04-22 |
| 1114556099 | Joseph Henry Albright | Anesthesiologist Assistant | 4401 Wornall Rd, Kansas City, MO 64111-3241 | 2020-04-03 |
| 1003474347 | Laura Shelby Spears | Anesthesiologist Assistant | 4401 Wornall Rd, Kansas City, MO 64111-3241 | 2019-06-02 |
| 1790293637 | Heather Ruck | Anesthesiologist Assistant | 2401 Gillham Road, Children's Mercy Hospital-dept of Anesthesia, Kansas City, MO 64108 | 2018-01-12 |
| 1316457922 | Lindsey Marie Colner | Anesthesiologist Assistant | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2017-10-09 |
| 1518407543 | Kaitlyn Hill | Anesthesiologist Assistant | 4401 Wornall Rd, Kansas City, MO 64111 | 2017-02-23 |
| 1336689371 | Stephanie Woodke | Anesthesiologist Assistant | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2017-02-23 |
| 1700232303 | Ronald Andrew Cole | Anesthesiologist Assistant | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2016-05-12 |
| 1760841415 | Tyler Bollinger | Anesthesiologist Assistant | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2016-02-22 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
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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.