Jeremy Michael Daves, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2004031152 Issued in MO

Practice address

201 NW R D Mize Rd
Anesthesia Services of Blue Springs/St. Mary's Medical
Blue Springs, MO 64014-2513

Phone

(816) 988-8415

Fax

(816) 335-4003

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO, AR2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rural Health Pain Management LLCGroup PAC ID 8921410341, 35 clinicians

Guardian Anesthesia Associates LLCGroup PAC ID 6608005111, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Forrest City Medical Center Hospital, Forrest City, AR, CCN 040019

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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

• Rural Health Pain Management LLC

  • Pain Medicine (Anesthesiology) Physician
  • Forrest City, AR
  • NPI 1265039556
  Medicare reassignment Care Compare group NPD Authorized official
• Guardian Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Poplar Bluff, MO
  • NPI 1215366307
  Medicare reassignment Care Compare group
• Pemiscot County Memorial Hospital

  • Emergency Care Clinic/Center
  • Hayti, MO
  • NPI 1578668661
  Medicare reassignment NPD
• Resource Anesthesiology Associates of Mo LLC

  • Anesthesiology Physician
  • Sikeston, MO
  • NPI 1396116521
  Medicare reassignment NPD
• Southeast Health Center of Stoddard County, LLC

  dba Mercy Hospital Stoddard

  • Rural Health Clinic/Center
  • Dexter, MO
  • NPI 1790828812
  Medicare reassignment NPD
• Southeast Missouri Hospital Physicians, LLC

  dba Mercy Clinic Southeast

  • Family Medicine Physician
  • Cape Girardeau, MO
  • NPI 1558311522

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Arkansas Methodist Hospital Corporation

  dba Paragould Anesthesia Group

  • Anesthesiology Physician
  • Paragould, AR
  • NPI 1861593816
  Medicare reassignment NPD
• Mississippi County Hospital System

  • Anesthesiology Physician
  • Blytheville, AR
  • NPI 1376844878

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Piggott Community Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Piggott, AR
  • NPI 1871555185
  Medicare reassignment NPD
• Pemiscot County Memorial Hospital

  • Rural Acute Care Hospital
  • Hayti, MO
  • NPI 1437179710
  NPD
• Southeast Health Center of Stoddard County LLC

  dba Mercy Hospital Stoddard

  • Family Medicine Physician
  • Dexter, MO
  • NPI 1477997567
  NPD
• Southeast Health Center of Stoddard County, LLC

  dba Mercy Hospital Stoddard

  • Rural Health Clinic/Center
  • Dexter, MO
  • NPI 1457660045
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Forrest City Arkansas Hospital Company LLC

  dba Forrest City Medical Center

  • General Acute Care Hospital
  • Forrest City, AR
  • NPI 1811912009
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1063513612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 NW NORTH RIDGE DRIVE",
            "address_2": "SUITE B",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640156320",
            "telephone_number": "816-988-8415",
            "fax_number": "816-335-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW R D MIZE RD",
            "address_2": "ANESTHESIA SERVICES OF BLUE SPRINGS/ST. MARY'S MEDICAL",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142513",
            "telephone_number": "816-988-8415",
            "fax_number": "816-335-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVES",
        "first_name": "JEREMY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2004031152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "911059301",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlyle Holbrook Dahlquist, DDS
• Ryan Dahlquist, DDS
• Khaled Ahmed Dahman
• Katherine Dake, DPT
• Laura Grace Daugherty, PTA
• Amelia Marie Davis, RN
• Kelley Davis, MS, CCC-SLP
• Michael James Davis, LPC
• Michelle Davis
• Cynthia Marquelle Dean, D.O.

• Certified Registered Nurse Anesthetist in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.