MIDWEST DIGESTIVE HEALTH CENTER, LLC (NPI# 1801122361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801122361 |
| Entity Type | Organization |
| Organization Name | MIDWEST DIGESTIVE HEALTH CENTER, LLC |
| Other Organization Name | ANESTHESIA SERVICES OF MIDWEST PSC |
| Practice Address |
3601 Ne Ralph Powell Rd Lees Summit MO 64064-2357 |
| Practice Telephone | 8165254440 |
| Practice Fax Number | 8162469887 |
| Mailing Telephone | 8165254440 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |
| Authorized Official Name | MR. WILLIAM G SOUTHWICK (PRES CEO) |
| Authorized Official Telephone | 6153299212 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDWEST DIGESTIVE HEALTH CENTER, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Anesthesia Services of Midwest PSC | Doing Business As Name - Organization |
| Street Address |
3601 NE RALPH POWELL RD |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64064-2357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992788038 | Marc Kenneth Taormina | Internal Medicine | 3601 Ne Ralph Powell Rd, Lees Summit, MO 64064-2357 | 2005-11-22 |
| 1326552993 | The Perfect Pelvis | Physical Therapist | 3601 Ne Ralph Powell Rd, Lees Summit, MO 64064-2358 | 2017-11-18 |
| 1497265078 | Midwest Gi Health LLC | Internal Medicine | 3601 Ne Ralph Powell Rd, Lees Summit, MO 64064-2358 | 2017-10-09 |
| 1952858995 | Erin E Rossiter | Physician Assistant | 3601 Ne Ralph Powell Rd, Suite C, Lees Summit, MO 64064-2358 | 2016-09-07 |
| 1982012480 | Westglen Gastrointestinal Consultants | Clinical Nurse Specialist | 3601 Ne Ralph Powell Rd, Lees Summit, MO 64064-2358 | 2014-07-28 |
| 1467749481 | Stephanie R Justin | Nurse Practitioner | 3601 Ne Ralph Powell Rd, Lees Summit, MO 64064-2358 | 2011-06-29 |
| 1720301088 | Core Chiropractic Centre LLC | Chiropractor | 3601 Ne Ralph Powell Rd, Suite C, Lees Summit, MO 64064-2357 | 2010-03-01 |
| 1821324260 | Midwest Digestive Health Center LLC | Clinic/Center | 3601 Ne Ralph Powell Rd, Lees Summit, MO 64064-2358 | 2009-10-20 |
| 1245460989 | In Motion Physical Therapy and Sports Rehabilitation | Specialist | 3601 Ne Ralph Powell Rd, Lees Summit, MO 64064-2357 | 2009-07-15 |
| 1477720654 | Narin J Tipton | Nurse Practitioner | 3601 Ne Ralph Powell Rd, Lees Summit, MO 64064-2358 | 2008-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647704 | James Andrew Kleoppel | Dentist | 3320 Ne Ralph Powell Rd., Lee's Summit, MO 64064 | 2020-07-30 |
| 1255991238 | Lee Summit Asc Kc LLC | Clinic/Center | 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 | 2019-06-20 |
| 1073014676 | Sonya Renee Aversman | Dietitian, Registered | 3680 Ne Akin Dr, Suite 134, Lee's Summit, MO 64064 | 2018-02-28 |
| 1407398365 | Lakewood Chiropractic, P.C. | Chiropractor | 731 Ne Lakewood Boulevard, Lee's Summit, MO 64064 | 2016-11-09 |
| 1417403015 | Mikaela Groff | Dietitian, Registered | 401 Ne Grant Ct, Lee's Summit, MO 64064 | 2016-09-01 |
| 1952756405 | Sarah C. Vignery | Speech-Language Pathologist | 3600 Ne Ralph Powell Rd. Suite E, Lee's Summit, MO 64064 | 2016-05-03 |
| 1790146058 | Aneliya H Hristova | Physician Assistant | 3601 Ne Ralph Powell Road., Lee's Summit, MO 64064 | 2016-03-15 |
| 1821469982 | Alysse Barrett Doane | Nurse Practitioner | 2714 Ne Mcbaine Drive, Lees Summit, MO 64064 | 2015-10-15 |
| 1346638814 | Donna Thomas Dds, PC | Dentist | 3359 Ne Ralph Powell Rd, Lee's Summit, MO 64064 | 2015-01-06 |
| 1437579208 | Gregory Lohr | Dentist | 2931 Ne Independence Ave, Lees Summit, MO 64064 | 2014-04-21 |
| Find all providers in zip 64064 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| 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 |
| 1184183436 | Mark Andrew Randtke | Nurse Anesthetist, Certified Registered | 2100 Se Blue Pkwy, Lees Summit, MO 64063-1007 | 2019-03-17 |
| 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 |
| 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 | ||||
| City | LEES SUMMIT |
| Zip Code | 64064 |
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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.