NPIMap

Organization Active NPI

West Plains Anesthesia, LLC

  • Ambulatory Surgical Clinic/Center
  • West Plains, MO
National Provider Identifier
1598025504
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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
Last updated
May 23, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
WEST PLAINS AMBULATORY SURGERY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Angie Worley
Title
Administrator
Phone
(417) 256-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1401 Doctors Dr
West Plains, MO 65775-4754

Mailing address

1401 Doctors Dr
West Plains, MO 65775-4754
Phone (417) 256-1400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1401 Doctors Dr
West Plains, MO 65775
Phone (417) 256-1400

Practitioners & affiliated clinicians

Practitioners 7

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": "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.

Verify at the official NPI Registry.