Active NPI
Christine Liana Hogendobler, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Cape Girardeau, MO
National Provider Identifier
1851354435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 128771
- Practice address
- 30 Doctors Park
Cape Girardeau, MO 63703-4928 - Phone
- (573) 334-9606
- Fax
- (573) 334-9608
- NPI assigned
- Apr 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 128771 | MO | Primary |
Addresses
Primary practice location
30 Doctors Park
Cape Girardeau, MO 63703-4928
Mailing address
30 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 334-9606
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166636 | Other | MO | BCBS |
| 430080191 | Other | MO | RAILROAD MEDICARE |
| A141 | Other | MO | CHAMPUS TRICARE |
| 915274013 | Medicaid | MO | |
| 110375 | Other | MO | HEALTH LINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128771 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DPS Anesthesia, LLC | Current | Accepting new patients |
Locations
30 Doctors Park
Cpe Girardeau, MO 63703
Phone (573) 334-9606
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1649339607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851354435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 DOCTORS PARK",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034928",
"telephone_number": "573-334-9606",
"fax_number": "573-334-9608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 DOCTORS PARK",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034928",
"telephone_number": "573-334-9606",
"fax_number": "573-334-9608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGENDOBLER",
"first_name": "CHRISTINE",
"middle_name": "LIANA",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "128771",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "166636",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430080191",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS TRICARE",
"identifier": "A141",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "915274013",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH LINK",
"identifier": "110375",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.