NPIMap

Organization Active NPI

Baxley Anesthetics of Kansas

  • Medical Specialty Clinic/Center
  • Webb City, MO
National Provider Identifier
1508562059
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
BAXLEY ANESTHETICS OF KANSAS
Practice address
10409 State Highway 43
Webb City, MO 64870-9723
Phone
(417) 529-3436
NPI assigned
Feb 6, 2023
Last updated
Feb 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Bryan O'Neal Baxley, CRNANPI 1902934870
Title
President
Phone
(417) 529-3436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

10409 State Highway 43
Webb City, MO 64870-9723

Mailing address

10409 State Highway 43
Webb City, MO 64870-9723
Phone (417) 529-3436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230410001345 KS Part B Supplier - Clinic/Group Practice 1951776764 Receives reassigned benefits from 8 practitioners
Practice locations: Emporia, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1508562059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10409 STATE HIGHWAY 43",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648709723",
            "telephone_number": "417-529-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10409 STATE HIGHWAY 43",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648709723",
            "telephone_number": "417-529-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXLEY ANESTHETICS OF KANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "BAXLEY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "O'NEAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-529-3436",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webb City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.

Verify at the official NPI Registry.