MEDICARE: SUMMIT ANESTHESIA SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1447841770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT ANESTHESIA SERVICES LLC

Provider Business Mailing Address
First Line	:	2404 SW OLD PORT RD
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64082-7808
Country	:	US
Telephone Number	:	913-647-4100
Fax Number	:	913-647-4120

Provider Business Practice Location Address
First Line	:	6815 FRONTAGE RD STE B
Second Line	:
City	:	MERRIAM
State	:	KS
Zip	:	66204-1555
Country	:	US
Telephone Number	:	913-318-3800
Fax Number	:	913-624-9971

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JACOB B. MILLER
Credential	:	MD
Telephone Number	:	913-647-4100

Provider Enumeration Date	:	01/29/2021
Last Update Date	:	01/29/2021

Similar Medicare Providers

1952539660 — MYCHI HAN LE MD
Practice Location Address:

6815 FRONTAGE RD STE A
OVERLAND PARK, KS
66204-1555

Practice Phone: 913-721-3387
Practice Fax: 816-875-2597

1386448637 — MEGAN MCCOY
Practice Location Address:

9100 W 74TH ST
MERRIAM, KS
66204-4004

Practice Phone: 913-676-2000
Practice Fax:

1750450995 — MRS. LISA RENE HAYS M.D.
Practice Location Address:

9100 W 74TH ST
MERRIAM, KS
66204-4004

Practice Phone: 913-676-7585
Practice Fax:

1235093576 — REESE WALLACE
Practice Location Address:

9100 W 74TH ST
MERRIAM, KS
66204-4004

Practice Phone: 913-676-2000
Practice Fax:

1114889987 — CLAIRE ELIZABETH OSANTOWSKI
Practice Location Address:

9100 W 75TH ST
MERRIAM, KS
66204

Practice Phone: 913-676-2000
Practice Fax:

1972507754 — SUSAN LEE DAHLIN M.D.
Practice Location Address:

9100 W 74TH ST
MERRIAM, KS
66204-4004

Practice Phone: 913-676-2433
Practice Fax: 913-789-6700

Directions to “SUMMIT ANESTHESIA SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.