NPIMap

Organization Active NPI

Westport Anesthesia Services of Missouri, PC

  • Anesthesiology Physician
  • Kansas City, MO
National Provider Identifier
1912959032
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
WESTPORT ANESTHESIA SERVICES OF MISSOURI, PC
Practice address
4401 Wornall Rd
Anesthesia Dept
Kansas City, MO 64111-3220
Phone
(816) 389-6030
Fax
(816) 389-6034
NPI assigned
May 17, 2006
Last updated
Feb 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Mr. Kenneth Dyer
Title
Coo
Phone
(816) 389-6030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

4401 Wornall Rd
Anesthesia Dept
Kansas City, MO 64111-3220

Mailing address

9233 Ward Pkwy
Suite 230
Kansas City, MO 64114-3366
Phone (816) 389-6030

Other identifiers 4

IdentifierTypeStateIssuer
04107016OtherMOMO BCBS GROUP NUMBER
900018OtherMOMO FHP GROUP NUMBER
027105OtherMOBCBS-KS GROUP NUMBER
CI4728OtherMORR MEDICARE

National Provider Directory

National Provider Directory

Locations

9233 Ward Pkwy
Ste 230
Kansas City, MO 64114
Phone (816) 389-6030

Practitioners & affiliated clinicians

Practitioners 95

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 95

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1912959032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9233 WARD PKWY",
            "address_2": "SUITE 230",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143366",
            "telephone_number": "816-389-6030",
            "fax_number": "816-389-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 WORNALL RD",
            "address_2": "ANESTHESIA DEPT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113220",
            "telephone_number": "816-389-6030",
            "fax_number": "816-389-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTPORT ANESTHESIA SERVICES OF MISSOURI, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "816-389-6030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO BCBS GROUP NUMBER",
            "identifier": "04107016",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO FHP GROUP NUMBER",
            "identifier": "900018",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-KS GROUP NUMBER",
            "identifier": "027105",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CI4728",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

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

Verify at the official NPI Registry.