NPIMap

Organization Active NPI

Guardian Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • Prairie Village, KS
National Provider Identifier
1124103205
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
GUARDIAN ANESTHESIA SERVICES
Practice address
3840 W 75TH St
Prairie Village, KS 66208-4126
Phone
(913) 384-9600
Fax
(913) 284-9646
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Elisa A McKay, CRNANPI 1679597041
Title
Sole Proprietor
Phone
(913) 262-2277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

3840 W 75TH St
Prairie Village, KS 66208-4126

Mailing address

PO Box 413770
Kansas City, MO 64141-3770
Phone (800) 903-2088

Other identifiers 3

IdentifierTypeStateIssuer
200355250AMedicaidKS
500857800MedicaidMO
27170015OtherMOBLUE CROSS BLUE SHIELD OF

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050721001104 KS Part B Supplier - Clinic/Group Practice 7315931540 Receives reassigned benefits from 34 practitioners
Practice locations: Prairie Village, KS

National Provider Directory

National Provider Directory

Locations

506 Burkarth Rd
Ste B
Warrensburg, MO 64093
Phone (660) 747-1888

4151 E St
Omaha, NE 68107
Phone (402) 245-2616

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1124103205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413770",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641413770",
            "telephone_number": "800-903-2088",
            "fax_number": "913-696-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 W 75TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084126",
            "telephone_number": "913-384-9600",
            "fax_number": "913-284-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "913-262-2277",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200355250A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500857800",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "27170015",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.