Shad Aaron Bowers
Individual provider Active NPI Certified Registered Nurse Anesthetist · Topeka, KS
NPI 1942777065 · NPPES record last updated Jan 22, 2019
Key facts
- NPI
- 1942777065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 43-557651-051 (KS)
- Practice address
- 823 SW Mulvane St
Topeka, KS 66606-1764 - Phone
- (785) 235-3451
- NPI assigned
- Oct 26, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergenchealth PLLC
Anesthesia Medical Professionals PLLC
Practice addresses (Care Compare)
10512 N 110TH E Ave
Bailey Med Ctr
Owasso, OK 74055-6636
Phone (918) 376-8000
1201 Health Ctr Pkwy
Yukon, OK 73099-6381
Phone (405) 717-6800
2825 Parklawn Dr
Midwest City, OK 73110-4201
Phone (405) 272-7279
Hospital & facility affiliations
- SSM Health St Anthony Hospital - Midwest
- Integris Baptist Medical Center, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200221000571 | OK | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4587900246 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43-557651-051 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Medical Professionals, PLLC | Current |
Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000
2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453
10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172
1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 43-557651-051 | KS | Yes |
Addresses
Primary practice location
823 SW Mulvane St
Topeka, KS 66606-1764
Mailing address
823 SW Mulvane St Ste 210
Topeka, KS 66606-1679
Phone (785) 235-3451
Other providers in Topeka, KS
- Jessica J Boswell
- Emma Jane Boulton
- Lynne M Bourne
- Aline Boutz
- Melanie Bowers
- Travis Bowser
- Tristyn Boxberger
- Jonathan Dale Boyd
- Lissa Lynne Boyd
- Tracy L Boyd
All providers in Topeka, KS · Certified Registered Nurse Anesthetist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.