Pkanesthesia, Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

134066 Issued in MO

Legal business name

PKANESTHESIA, INC

Practice address

RT 1 Box 53
Memphis, MO 63555

Phone

(660) 465-8511

Fax

(660) 465-2956

NPI assigned

Apr 11, 2008

Last updated

Apr 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Kemp, M.D.

Title

Crna

Phone

(702) 878-0070

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Irving Benjamin Ward, DO

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1578580114
  NPD (past)

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1548433485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29504",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891269504",
            "telephone_number": "702-878-0070",
            "fax_number": "702-818-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 1 BOX 53",
            "city": "MEMPHIS",
            "state": "MO",
            "postal_code": "63555",
            "telephone_number": "660-465-8511",
            "fax_number": "660-465-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PKANESTHESIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "702-878-0070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "134066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Missouri Health Council Inc (Memphis Community Health Center)
• Northeast Missouri Health Council, Inc. (Northeast Missouri Family Health Clinic)
• Susanne Renee Owens, CRNA
• Kylee Nichole Perkins, PTA
• Lisa Marie Peterson, LCSW
• Kenneth Bruce Quenneville, MD
• Lois Quenneville, P.A.
• Nicholas R Rhodes, L.M.T
• Scotland Co. R-1
• Scotland County Ambulance District

• Certified Registered Nurse Anesthetist in Memphis, MO
• Providers in Memphis, MO by specialty
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.