Monty J McKinven, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

103002 Issued in IA

Practice address

2720 Stone Park Blvd
Sioux City, IA 51104-3734

Phone

(712) 255-2324

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Burgess Health Center

  • Critical Access Hospital
  • Onawa, IA
  • NPI 1730253360
  Medicare reassignment NPD
• Anesthesia Consultants PC

  • Anesthesiology Physician
  • Sioux City, IA
  • NPI 1497854574

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Dubuque Anesthesia Services, PC

  dba Same as Above

  • Certified Registered Nurse Anesthetist
  • Dubuque, IA
  • NPI 1356455257

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Dubuque Anesthesia Services, PC

  dba Same as Above

  • Anesthesiology Physician
  • Dubuque, IA
  • NPI 1396756417
  NPD (past)
• Associated Anesthesiologists PC

  • Anesthesiology Physician
  • Lincoln, NE
  • NPI 1972674604
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1861439986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511020683",
            "telephone_number": "712-255-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 STONE PARK BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043734",
            "telephone_number": "712-255-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINVEN",
        "first_name": "MONTY",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "103002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123695",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206532",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A McInerney, MD
• Jacqueline Joy McInnis, PA-C,CAQ PSYCHIATRY
• Ryan Patrick McKenna, D.D.S
• Shana Marie McKie, M.A., BCBA
• Lori McKinlay, LISW
• Paul Lyle McMahon Jr., PT, DPT
• Sally Jo McMahon, ARNP
• McNaughton Plastic Surgery, LLC
• Laura Doshier McNaughton, M.D.
• Syreeta Tisha McTavous, D.D.S.

• Certified Registered Nurse Anesthetist in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.

Verify at the official NPI Registry.