Active NPI
Melanie J Guthrie, AA
- Anesthesiologist Assistant
- Liberty, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 2006028762
- Practice address
- 2525 Glenn Hendren Dr
Liberty, MO 64068-9625 - Phone
- (816) 781-7200
- Fax
- (816) 792-7196
- NPI assigned
- Nov 16, 2006
- Last updated
- Dec 9, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 2006028762 | MO | Primary |
Addresses
Primary practice location
2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Mailing address
PO Box 804408
Kansas City, MO 64180-4408
Phone (913) 647-4100
Other practice location 1
4510 Frederick Ave
Saint Joseph, MO 64506-3238
Phone (816) 364-9992
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 917444408 | Medicaid | MO | |
| P00361612 | Other | MO | RR MEDICARE |
| 38005019 | Other | MO | BCBS KC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone (816) 781-7200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003020 | GA | MD | Occupational Therapist |
| 2006028762 | MO | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Anesthetic Care Inc | Current | Accepting new patients | |
| James F Piontek Inc | Past | Accepting new patients |
Locations
2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200
2529 Glenn Hendren Dr
Ste 100
Liberty, MO 64068
Phone (816) 781-7200
Organizations & group practices 2
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.
-
dba Professional Anesthetic Care
- Anesthesiology Physician
- Liberty, MO
- NPI 1922053461
-
- Pain Medicine (Anesthesiology) Physician
- Liberty, MO
- NPI 1508034828
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Liberty, MO
- NPI 1548001464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1124191143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 804408",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641804408",
"telephone_number": "913-647-4100",
"fax_number": "913-647-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 GLENN HENDREN DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640689625",
"telephone_number": "816-781-7200",
"fax_number": "816-792-7196"
}
],
"practiceLocations": [
{
"address_1": "4510 Frederick Ave",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MO",
"postal_code": "645063238",
"country_code": "US",
"telephone_number": "816-364-9992",
"fax_number": "816-336-9996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTHRIE",
"first_name": "MELANIE",
"middle_name": "J",
"credential": "AA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "MO",
"license": "2006028762",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "917444408",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00361612",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "38005019",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.