NPIMap

Organization Active NPI

St Johns Regional Medical Center

Doing business as 21st Century Anesthesia

  • Anesthesiology Physician
  • Joplin, MO
National Provider Identifier
1841240546
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ST JOHNS REGIONAL MEDICAL CENTER
Doing business as
21st Century Anesthesia
Practice address
2727 McClelland Blvd
Joplin, MO 64804-1626
Phone
(417) 781-2727
NPI assigned
May 11, 2006
Last updated
Jun 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
George Caralis
Title
Ceo
Phone
(417) 781-2727

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X
Anesthesiology Physician 207L00000X Primary
Addiction Medicine (Anesthesiology) Physician 207LA0401X
Critical Care Medicine (Anesthesiology) Physician 207LC0200X
Pain Medicine (Anesthesiology) Physician 207LP2900X

Addresses

Primary practice location

2727 McClelland Blvd
Joplin, MO 64804-1626

Mailing address

PO Box 760
Joplin, MO 64802-0760
Phone (417) 624-3040

Other identifiers 5

IdentifierTypeStateIssuer
100693700MMedicaidOK
505098509MedicaidMO
100000880EMedicaidKS
108602AOtherMOBCBS
CG9560OtherRAILROAD MEDICARE

Other names 1

  • 21st Century Anesthesia Doing business as

National Provider Directory

National Provider Directory

Locations

1905 W 32nd St
Ste 102
Joplin, MO 64804
Phone (417) 625-2320

111 W 12th St
Lamar, MO 64759
Phone (417) 682-3700

Practitioners & affiliated clinicians

Practitioners 127

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.

View all 127

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1841240546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648020760",
            "telephone_number": "417-624-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MCCLELLAND BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041626",
            "telephone_number": "417-781-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "CARALIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-781-2727"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100693700M",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505098509",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000880E",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "108602A",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG9560",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "21st Century Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.