Organization Active NPI

St Johns of Aurora Hospital

Doing business as Aurora Anesthesia Clinic

  • Anesthesiology Physician
  • Aurora, MO
National Provider Identifier
1487610143
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
141567 Issued in MO
Legal business name
ST JOHNS OF AURORA HOSPITAL
Doing business as
Aurora Anesthesia Clinic
Practice address
500 Porter Ave
Aurora, MO 65605-2365
Phone
(417) 678-2122
NPI assigned
Apr 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Don Buchanan
Title
Ceo
Phone
(417) 678-2122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 059261 MO
Anesthesiology Physician 207L00000X 141567 MO Primary

Addresses

Primary practice location

500 Porter Ave
Aurora, MO 65605-2365

Mailing address

3952 S Fairview Ave
Suite B
Springfield, MO 65807-4604
Phone (417) 887-5568

Other names 1

  • AURORA ANESTHESIA CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

3952 S Fairview Ave
Ste B
Springfield, MO 65807
Phone (417) 887-5568

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487610143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3952 S FAIRVIEW AVE",
            "address_2": "SUITE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074604",
            "telephone_number": "417-887-5568",
            "fax_number": "417-883-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PORTER AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656052365",
            "telephone_number": "417-678-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS OF AURORA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-678-2122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "059261",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "141567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AURORA ANESTHESIA CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.