Active NPI
Michael Raymond Fann
- Certified Registered Nurse Anesthetist
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2011003376
- Practice address
- 1600 E Broadway
Columbia, MO 65201-5844 - Phone
- (573) 815-8000
- NPI assigned
- Jan 4, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | 2011003376 | MO | Primary |
Addresses
Primary practice location
1600 E Broadway
Columbia, MO 65201-5844
Mailing address
1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1125 Madison St
Jefferson City, MO 65101-5227
Phone (573) 635-7141
1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-5511
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 58.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-America Anesthesia Consultants, PC | Current | Accepting new patients | |
| Orthomed Staffing LLC | Current | Accepting new patients |
Locations
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310
1600 E Broadway
Ste 60
Columbia, MO 65201
200 NE 54th St
Unit 200
Kansas City, MO 64118
211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214
1040 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 729-9780
10435 Clayton Rd
Ste 110
Saint Louis, MO 63131
Phone (314) 576-1400
4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Columbia, MO
- NPI 1083728463
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Capital Region Medical Center
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
dba University of Missouri Health Care
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1235433319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 E BROADWAY",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652015844",
"telephone_number": "573-815-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 E BROADWAY",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652015844",
"telephone_number": "573-815-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANN",
"first_name": "MICHAEL",
"middle_name": "RAYMOND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-04",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2011003376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Family Counseling Center of Missouri, Inc.
- Family Counseling Center of Missouri, Inc. (Daybreak Treatment Center)
- Family First Chiropractic and Wellness Center
- Alyssa Paige Famuliner, M.S., CCC-SLP
- Xiaoyan Fang
- Meagan Michelle Fansler, NP
- Darian Fard, MD
- Reza S Farid, M.D.
- Sophi Farid
- Christopher D. Farmer, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.