Active NPI
David S Johnson, CRNA
- Certified Registered Nurse Anesthetist
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 105291
- Practice address
- 4801 Cliff Ave
Suite 101 Eye Surgery Center the Cliffs
Independence, MO 64055 - Phone
- (816) 478-4400
- Fax
- (816) 478-8240
- NPI assigned
- Oct 2, 2006
- Last updated
- Jul 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 105291 | MO | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 1492144101 | KS |
Addresses
Primary practice location
4801 Cliff Ave
Suite 101 Eye Surgery Center the Cliffs
Independence, MO 64055
Mailing address
4801 Cliff Ave
Suite 100 Admin
Independence, MO 64055
Phone (816) 478-1230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1656 Medical Blvd
Suite 201
Naples, FL 34110-1423
Phone (239) 449-4945
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42030 | TX | MD | General Practice Dentistry |
| 1492144101 | KS | MD | Certified Registered Nurse Anesthetist |
| 105291 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Services Plus Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| 1656 Anesthesia, 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 |
| St Lukes East Anesthesia Services,P.C. | Past | Accepting new patients |
Locations
6241 Arc Way
Ste B
Fort Myers, FL 33966
Phone (239) 278-9955
1656 Medical Blvd
Ste 201
Naples, FL 34110
Phone (239) 431-5713
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Naples, FL
- NPI 1861734865
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1205230703
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lee's Summit, MO
- NPI 1649283177
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
-
dba Novamed Eye Surgery Center OP
- 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": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609969583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 CLIFF AVE",
"address_2": "SUITE 100 ADMIN",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "64055",
"telephone_number": "816-478-1230",
"fax_number": "816-350-4585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 CLIFF AVE",
"address_2": "SUITE 101 EYE SURGERY CENTER THE CLIFFS",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "64055",
"telephone_number": "816-478-4400",
"fax_number": "816-478-8240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DAVID",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "105291",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "1492144101",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.