Active NPI
St Johns of Aurora Hospital
Doing business as Aurora Anesthesia Clinic
- Anesthesiology Physician
- Aurora, MO
National Provider Identifier
1487610143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 141567
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.