Active NPI
Mid-America Anesthesia Professionals LLC
- Certified Registered Nurse Anesthetist
- El Dorado, KS
National Provider Identifier
1164550786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Wichita, KS
- NPI 1841396819
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.