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Organization Active NPI

Saint Francis Medical Center

Doing business as Saint Francis Medical Center Anesthesia

  • Anesthesiology Physician
  • Cape Girardeau, MO
National Provider Identifier
1356304489
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SAINT FRANCIS MEDICAL CENTER
Doing business as
Saint Francis Medical Center Anesthesia
Practice address
211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone
(573) 334-7575
Fax
(573) 334-7512
NPI assigned
Apr 10, 2006
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Kim Gilliland
Title
Credentialing
Phone
(573) 331-5583

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary
Certified Registered Nurse Anesthetist 367500000X

Addresses

Primary practice location

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049

Mailing address

PO Box 801143
Kansas City, MO 64180-1143
Phone (573) 331-5583

Other names 1

  • Saint Francis Medical Center Anesthesia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040107000140 MO Part B Supplier - Clinic/Group Practice 9931007929 Receives reassigned benefits from 615 practitioners
37 other NPIs on this enrollment

Other NPIs with the same Medicare PAC ID 17

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 17

Other NPIs on the same Medicare enrollment 37

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 37

National Provider Directory

National Provider Directory

Locations

1012 N Main St
#Saint
Sikeston, MO 63801
Phone (573) 471-0330

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Saint Francis Medical CenterCape Girardeau, MO, CCN 260183 Hospital Operational/Managerial Control Oct 2, 2007
St Francis Medical CenterCape Girardeau, MO, CCN 26T183 Hospital Operational/Managerial Control Oct 2, 2007
Saint Francis HospiceCape Girardeau, MO, CCN 261657 Hospice Operational/Managerial Control Jul 1, 2014
Saint Francis Clinic DexterDexter, MO, CCN 793839 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
Saint Francis Clinic Cape Girardeau KingshighwayCape Girardeau, MO, CCN 263897 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2014
Saint Francis Clinic Poplar BluffPoplar Bluff, MO, CCN 263968 Rural health clinic 5% Or Greater Direct Ownership Interest Jan 1, 2014
Saint Francis Clinic PiedmontPiedmont, MO, CCN 263933 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
Saint Francis Clinic JacksonJackson, MO, CCN 263914 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 2, 2014
Saint Francis Clinic CharlestonCharleston, MO, CCN 263830 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Saint Francis Clinic FarmingtonFarmington, MO, CCN 793859 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 16, 2021

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 618

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 618

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1356304489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801143",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801143",
            "telephone_number": "573-331-5583",
            "fax_number": "573-331-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SAINT FRANCIS DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035049",
            "telephone_number": "573-334-7575",
            "fax_number": "573-334-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT FRANCIS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "GILLILAND",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "573-331-5583"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Francis Medical Center Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.