Active NPI
Mike Downing, CRNA
- Certified Registered Nurse Anesthetist
- Ballwin, MO
National Provider Identifier
1063403277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 073583
- Practice address
- 6 Mandalay Dr
Ballwin, MO 63021-5522 - Phone
- (636) 227-5297
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 073583 | MO | Primary |
Addresses
Primary practice location
6 Mandalay Dr
Ballwin, MO 63021-5522
Mailing address
6 Mandalay Dr
Ballwin, MO 63021-5522
Phone (636) 227-5297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Inc. | Past | Accepting new patients | |
| Ballas Anesthesia, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Mercy Hospital Jefferson | Past | Accepting new patients | |
| Premier Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1306894241
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1285717587
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1225073828
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1063403277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 MANDALAY DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630215522",
"telephone_number": "636-227-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 MANDALAY DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630215522",
"telephone_number": "636-227-5297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWNING",
"first_name": "MIKE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "073583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.