QUEEN CITY ANESTHESIA GROUP, LLC (NPI# 1790184489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790184489 |
| Entity Type | Organization |
| Organization Name | QUEEN CITY ANESTHESIA GROUP, LLC |
| Practice Address |
3535 S National Ave Springfield MO 65807-7310 |
| Mailing Address |
5665 New Northside Dr Suite 320 Atlanta GA 30328-5831 |
| Practice Telephone | 4172699800 |
| Mailing Telephone | 7708745400 |
| Mailing Fax Number | 7708745483 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |
| Authorized Official Name | MR. ROGER PAUL MURRAY (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7708745400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871992792 | Queen City Anesthesia Group, LLC | Anesthesiology | 3901 S Fremont Ave, Springfield, MO 65804-6538 | 2014-08-15 |
| 1336548023 | Queen City Anesthesia Group, LLC | Anesthesiology | 960 E Walnut Lawn St, Springfield, MO 65807-7506 | 2014-08-19 |
| Street Address |
3535 S NATIONAL AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-7310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245263102 | Lester E Cox Medical Centers | Skilled Nursing Facility | 3535 S National Ave, Springfield, MO 65807-7310 | 2006-07-07 |
| 1851920474 | Robert Wilson Fleming | Physical Therapist | 3535 S National Ave, Springfield, MO 65807-7310 | 2020-04-06 |
| 1306474796 | Mallory Moore | Speech-Language Pathologist | 3535 S National Ave, Springfield, MO 65807-7310 | 2020-03-31 |
| 1285170316 | Ashley Staats | Specialist/Technologist | 3535 S National Ave, Springfield, MO 65807-7310 | 2017-01-12 |
| 1063700862 | Springfield Neurological and Spine Institute | Rehabilitation Unit | 3535 S National Ave, Springfield, MO 65807-7310 | 2011-07-13 |
| 1063513182 | Jill Rude | Nurse Practitioner | 3535 S National Ave, Springfield, MO 65807-7310 | 2006-09-25 |
| 1801821947 | Lester E Cox Medical Centers | Rehabilitation Unit | 3535 S National Ave, Springfield, MO 65807-7310 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 |
|---|---|---|---|---|
| 1780039420 | Apex Anesthesia Associates LLC | Anesthesiology | 65 Springfield Ave, 1st Floor, Springfield, NJ 07081-1308 | 2016-05-02 |
| 1871992792 | Queen City Anesthesia Group, LLC | Anesthesiology | 3901 S Fremont Ave, Springfield, MO 65804-6538 | 2014-08-15 |
| 1588009492 | Donald Walter Claeys | Anesthesiology | 34454 Mckenzie View Dr, Springfield, OR 97478-9738 | 2013-05-06 |
| 1225268204 | Nandakumar Ponnusamy | Anesthesiology | Bay State Medical Ctr, 759 Chestnut Street, Springfield, MA 01199-0001 | 2009-07-23 |
| 1346498136 | Deborah Lynne Wirsing | Anesthesiology | 939 Harlow Rd Ste 110, Springfield, OR 97477-1190 | 2008-09-04 |
| 1346391778 | Gregg Joseph Salathe | Anesthesiology | 5173 S Virginia Ave, Springfield, MO 65810-2863 | 2007-01-14 |
| 1891887048 | Kamel Abraham | Anesthesiology | 1117 E Home Rd, Springfield, OH 45503-2725 | 2006-09-28 |
| 1700990603 | Florence E Odutola | Anesthesiology | Mercy Medical Ctr, 271 Carew Street, Springfield, MA 01104 | 2006-08-18 |
| 1679503437 | Michael E. Mehrer | Anesthesiology | 3801 S. National, Springfield, MO 65807 | 2006-07-04 |
| 1275508574 | Charles Milton Cook | Anesthesiology | 3333 Riverbend Dr, Springfield, OR 97477-8800 | 2006-02-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.