Active NPI
West Plains Anesthesia, LLC
- Ambulatory Surgical Clinic/Center
- West Plains, MO
National Provider Identifier
1598025504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- WEST PLAINS ANESTHESIA, LLC
- Practice address
- 1401 Doctors Dr
West Plains, MO 65775-4754 - Phone
- (417) 256-1400
- Fax
- (417) 256-2885
- NPI assigned
- May 23, 2012
- Organization subpart
- Yes
- Parent organization
- WEST PLAINS AMBULATORY SURGERY CENTER
Authorized official
NPPES NPI Registry- Name
- Angie Worley
- Title
- Administrator
- Phone
- (417) 256-1400
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- West Plains, MO
- NPI 1073509733
Member Of
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- West Plains, MO
- NPI 1659376457
MO
-
- Ophthalmology Physician
- West Plains, MO
- NPI 1821035569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121004000695 | MO | Part B Supplier - Clinic/Group Practice | 2769631852 |
Receives reassigned benefits from 6 practitioners Practice locations: West Plains, MO |
National Provider Directory
National Provider Directory- Part of
- West Plains Surgery Center
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1401 Doctors Dr
West Plains, MO 65775-4754
Mailing address
1401 Doctors Dr
West Plains, MO 65775-4754
Phone (417) 256-1400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 23, 2012.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337731200000",
"number": "1598025504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 DOCTORS DR",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657754754",
"telephone_number": "417-256-1400",
"fax_number": "417-256-2885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 DOCTORS DR",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657754754",
"telephone_number": "417-256-1400",
"fax_number": "417-256-2885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST PLAINS ANESTHESIA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WEST PLAINS AMBULATORY SURGERY CENTER",
"enumeration_date": "2012-05-23",
"last_updated": "2012-05-23",
"status": "A",
"authorized_official_last_name": "WORLEY",
"authorized_official_first_name": "ANGIE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "417-256-1400"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Plains, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.