Amanda Pham Paulsgrove

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

43-557595-061 Issued in KS

Practice address

3901 Rainbow Blvd
Kansas City, KS 66160

Phone

(913) 588-6670

NPI assigned

May 20, 2018

Last updated

Mar 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Khanh Pham Former name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Specialists of Oklahoma LLCGroup PAC ID 0648551739, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Onecore Health Hospital, Oklahoma City, OK, CCN 370220

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Anesthesia Specialists of Oklahoma LLC

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
  • NPI 1801252952

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Medical Professionals, PLLC

  • Anesthesiology Physician
  • Edmond, OK
  • NPI 1962785931
  Medicare reassignment NPD
• Deaconess Anesthesia Services LLC

  • Anesthesiology Physician
  • Oklahoma City, OK
  • NPI 1912432048

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Hpi Physicians LLC

  • General Practice Physician
  • Edmond, OK
  • NPI 1205152600
  Medicare reassignment NPD
• Surgical Hospital of Oklahoma LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1033229240
  Medicare reassignment NPD
• Western Oklahoma Anesthesia Consultants PLLC

  • Anesthesiology Physician
  • Elk City, OK
  • NPI 1881102614
  Medicare reassignment NPD
• Paulsgrove Anesthesia Services PLLC

  • Anesthesiology Physician
  • Oklahoma City, OK
  • NPI 1326756370
  NPD Authorized official
• Anesthesia Medical Professionals Edmond LLC

  • Anesthesiology Physician
  • Oklahoma City, OK
  • NPI 1265376677
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital for Special Surgery L L C

  dba OneCore Health

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1851344188
  Care Compare affiliation

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

{
    "created_epoch": "1526774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1437640034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 TRACY AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082937",
            "telephone_number": "405-496-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66160",
            "telephone_number": "913-588-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSGROVE",
        "first_name": "AMANDA",
        "middle_name": "PHAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-20",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "43-557595-061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PHAM",
            "middle_name": "KHANH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Denise Patrick, CRNA
• Megan B Patton, PA-C
• Riddhi Paudel, MD
• Sweety Paudel
• Makayla Pauley
• Carolyn A Pavelka, LSCSW
• Andrew Payne, DO
• Payne, Hogan & Associates
• Peyton Renee Peaches, OTR/L
• Elspeth Kathleen Pearce, MD

• Certified Registered Nurse Anesthetist in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.

Verify at the official NPI Registry.