Active NPI
Audrain Health Care Inc
- Anesthesiology Physician
- Mexico, MO
National Provider Identifier
1750414975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- AUDRAIN HEALTH CARE INC
- Practice address
- 620 E Monroe St
Mexico, MO 65265-2919 - Phone
- (573) 582-5000
- Fax
- (573) 582-3723
- NPI assigned
- Mar 14, 2007
- Organization subpart
- Yes
- Parent organization
- AUDRAIN HEALTH CARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David A Neuendorf
- Title
- President Ceo
- Phone
- (573) 582-5000
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
620 E Monroe St
Mexico, MO 65265-2919
Mailing address
620 E Monroe St
Mexico, MO 65265-2919
Phone (573) 582-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130994 | Other | MO | BCBS |
Other names 1
- Audrain Anesthesia Services
National Provider Directory
National Provider Directory- Part of
- Rusty Spieler MD
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Land Ambulance
- Mexico, MO
- NPI 1811030851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205280000000",
"number": "1750414975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 E MONROE ST",
"city": "MEXICO",
"state": "MO",
"postal_code": "652652919",
"telephone_number": "573-582-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 E MONROE ST",
"city": "MEXICO",
"state": "MO",
"postal_code": "652652919",
"telephone_number": "573-582-5000",
"fax_number": "573-582-3723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUDRAIN HEALTH CARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AUDRAIN HEALTH CARE INC",
"enumeration_date": "2007-03-14",
"last_updated": "2008-03-12",
"status": "A",
"authorized_official_last_name": "NEUENDORF",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "573-582-5000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "130994",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Audrain Anesthesia Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mexico, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.