Monty Roy John, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Chanute, KS

NPI 1023088747 · NPPES record last updated May 12, 2011

Key facts

NPI
1023088747
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
54110 (KS)
Practice address
629 S Plummer Ave
Chanute, KS 66720
Phone
(620) 431-4000
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
54110KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered Current
since Dec 23, 2022
Accepting new patients
Brian Tolefree Crna LLC Nurse Anesthetist, Certified Registered Current
since Nov 11, 2013
Accepting new patients
Baba Abudu MD PA Past Accepting new patients
Morris County Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Henry P Beugelsdijk MD PA Past Accepting new patients
Sumner Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Mercy Kansas Communities Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1602 W 15th Ave
Ste A
Emporia, KS 66801
Phone (620) 343-7200

200 Commodore St
Pratt, KS 67124
Phone (620) 672-6476

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d20ca4de-00bb-48dc-a30c-dec35eefeee0/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 54110 KS Yes

Addresses

Primary practice location

629 S Plummer Ave
Chanute, KS 66720

Mailing address

PO Box 388
Newton, KS 67114-0388
Phone (316) 281-3700

Other providers in Chanute, KS

All providers in Chanute, KS · Certified Registered Nurse Anesthetist in Kansas

Sources for this page

Verify at the official NPI Registry.