Active NPI
Matthew Sean Donegan, CRNA
- Certified Registered Nurse Anesthetist
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 110964
- Practice address
- 5721 W 119TH St
Aakc Menorah Medical Center
Overland Park, KS 66209-3722 - Phone
- (913) 498-6000
- NPI assigned
- Jan 26, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 110964 | KS | Primary |
Addresses
Primary practice location
5721 W 119TH St
Aakc Menorah Medical Center
Overland Park, KS 66209-3722
Mailing address
6611 W 335TH St
Louisburg, KS 66053-7156
Phone (913) 980-4468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110964 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care, LLC | Current | Accepting new patients | |
| Ottawa Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Saint Luke'S Hospital of Allen County, Inc | Current | Accepting new patients | |
| Saint Lukes Hospital of Garnett Inc | Current | Accepting new patients | |
| Eye Care LLC | Current | Accepting new patients | |
| Digestive Health Specialists, LLC | Current | Accepting new patients | |
| Anesthesia Associates of Kansas City PA | Past | Accepting new patients | |
| Novamed Eye Surgery Center of Overland Park, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105
3066 N Kentucky St
Iola, KS 66749
Phone (620) 365-1000
11500 Granada St
Leawood, KS 66211
Phone (816) 350-6902
1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367
5520 College Blvd
Ste 200
Overland Park, KS 66211
Phone (913) 491-3040
670 S Commercial St
Harrisonville, MO 64701
3800 S Whitney Ave
Ste 100
Independence, MO 64055
4741 S Cochise Dr
Independence, MO 64055
Phone (816) 542-2849
3800 S Whitney Ave
Ste 200
Independence, MO 64055
9601 NE 79th St
Kansas City, MO 64158
3310 W 10th St
Sedalia, MO 65301
Phone (660) 829-2837
Interoperability endpoints
- mdonegan231408@direct.saint-lukes.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Ottawa, KS
- NPI 1952372450
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Iola, KS
- NPI 1639185457
-
- Critical Access Hospital
- Garnett, KS
- NPI 1316911878
-
- Gastroenterology Physician
- Independence, MO
- NPI 1801286844
-
- Ophthalmology Physician
- Harrisonville, MO
- NPI 1609066034
-
- Certified Registered Nurse Anesthetist
- Leawood, KS
- NPI 1366559130
-
- General Practice Physician
- Garnett, KS
- NPI 1619901725
-
- Ophthalmology Physician
- Independence, MO
- NPI 1750374567
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
-
- Certified Registered Nurse Anesthetist
- Overland Park, KS
- NPI 1285755330
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1497086789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6611 W 335TH ST",
"city": "LOUISBURG",
"state": "KS",
"postal_code": "660537156",
"telephone_number": "913-980-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5721 W 119TH ST",
"address_2": "AAKC MENORAH MEDICAL CENTER",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662093722",
"telephone_number": "913-498-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONEGAN",
"first_name": "MATTHEW",
"middle_name": "SEAN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-26",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "110964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.