Active NPI
Robert W McEachen, CRNA
- Certified Registered Nurse Anesthetist
- Leawood, KS
National Provider Identifier
1477632123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 55371
- Practice address
- 10310 State Line Rd Ste a
St Joseph Anesthesia Services
Leawood, KS 66206-2695 - Phone
- (913) 647-4101
- NPI assigned
- Nov 3, 2006
- Last updated
- Oct 13, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 144284 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 55371 | KS | Primary |
| Registered Nurse | 163W00000X | 1375832091 | KS |
Addresses
Primary practice location
10310 State Line Rd Ste a
St Joseph Anesthesia Services
Leawood, KS 66206-2695
Mailing address
7537 Main St
Kansas City, MO 64114-1124
Phone (816) 786-8158
Other practice location 1
2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254
Phone (816) 691-2021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1375832091 | KS | MD | Registered Nurse |
| 144284 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritas Health Corporation | Past | Accepting new patients | |
| Johnson County Anesthesiologists, Chartered | Registered Nurse | Past | Accepting new patients |
Organizations & group practices 2
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
- Olathe, KS
- NPI 1811940877
Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1477632123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7537 MAIN ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641141124",
"telephone_number": "816-786-8158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10310 STATE LINE RD STE A",
"address_2": "ST JOSEPH ANESTHESIA SERVICES",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662062695",
"telephone_number": "913-647-4101"
}
],
"practiceLocations": [
{
"address_1": "2700 Clay Edwards Dr Ste 240",
"address_purpose": "LOCATION",
"city": "North Kansas City",
"state": "MO",
"postal_code": "641163254",
"country_code": "US",
"telephone_number": "816-691-2021",
"fax_number": "816-346-7690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCEACHEN",
"first_name": "ROBERT",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "144284",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "55371",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "1375832091",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.