Southeast Health

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

SOUTHEAST HEALTH

Practice address

1701 Lacey St
Cape Girardeau, MO 63701-5230

Phone

(573) 334-4822

NPI assigned

Dec 3, 2019

Last updated

Dec 3, 2019By 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

Matthew Ryan NanneyNPI 1033757992

Title

Crna

Phone

(573) 576-3379

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Matthew Ryan Nanney, CRNA

  • Certified Registered Nurse Anesthetist
  • Columbia, MO
  • NPI 1033757992

  Nurse Anesthetist, Certified Registered

  NPD Authorized official

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1689211252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 LACEY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637015230",
            "telephone_number": "573-334-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 LACEY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637015230",
            "telephone_number": "573-334-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "NANNEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "573-576-3379"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Society of the Most Holy Trinity (Trinitas Home Health Care)
• Linda Lou Soder, BNS, RN, MSN, P-C
• Aliza An Soler, OTR/L
• Destiny Soo Hon
• Southeast Anesthesia Services
• Southeast Hospital (Mercy Hospital Southeast)
• Southeast Hospital (Mercy Pharmacy Broadway)
• Southeast Hospital (Southeast Hospital ORLB)
• Southeast Hospital
• Southeast Hospital (Southeast Home Health)

• Certified Registered Nurse Anesthetist in Cape Girardeau, MO
• Providers in Cape Girardeau, 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 Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.