Organization Active NPI

Mid-America Anesthesia Professionals LLC

  • Certified Registered Nurse Anesthetist
  • El Dorado, KS
National Provider Identifier
1164550786
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
MID-AMERICA ANESTHESIA PROFESSIONALS LLC
Practice address
720 W Central Ave
El Dorado, KS 67042-2112
Phone
(316) 321-3300
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Tommie Lee McKibban
Title
Crna
Phone
(316) 321-8772

Specialties & licenses 1

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

Addresses

Primary practice location

720 W Central Ave
El Dorado, KS 67042-2112

Mailing address

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

National Provider Directory

National Provider Directory

Locations

7730 E 37th St N
Ste 300
Wichita, KS 67226
Phone (316) 491-8200

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1164550786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671140388",
            "telephone_number": "316-281-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W CENTRAL AVE",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422112",
            "telephone_number": "316-321-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-AMERICA ANESTHESIA PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "MCKIBBAN",
        "authorized_official_first_name": "TOMMIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "316-321-8772"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.

Verify at the official NPI Registry.