Organization Active NPI

Icd8U Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Topeka, KS
National Provider Identifier
1225575624
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
43-55189-092 Issued in KS
Legal business name
ICD8U ANESTHESIA, LLC
Practice address
3630 SW Fairlawn Rd
Topeka, KS 66614-3966
Phone
(785) 273-8080
NPI assigned
Jan 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Shannon Schwarz, CRNANPI 1003925009
Title
Nurse Anesthetist
Phone
(785) 840-5855

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 43-55189-092 KS Primary

Addresses

Primary practice location

3630 SW Fairlawn Rd
Topeka, KS 66614-3966

Mailing address

3701 SW Kings Forest Rd
Topeka, KS 66610-1556
Phone (785) 840-5855

Other identifiers 2

IdentifierTypeStateIssuer
0000145012OtherKSBCBS
P00109578OtherKSRAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170222000831 KS Part B Supplier - Clinic/Group Practice 2264716141 Receives reassigned benefits from 1 practitioner
Practice locations: Topeka, KS

National Provider Directory

National Provider Directory

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": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1225575624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 SW KINGS FOREST RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666101556",
            "telephone_number": "785-840-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 SW FAIRLAWN RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666143966",
            "telephone_number": "785-273-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICD8U ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "SCHWARZ",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "NURSE ANESTHETIST",
        "authorized_official_telephone_number": "785-840-5855",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "43-55189-092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000145012",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00109578",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.