Healthcare Provider Details

I. General information

NPI: 1811415599
Provider Name (Legal Business Name): US ANESTHESIA PARTNERS OF KANSAS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2017
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE CO
80111-4766
US

IV. Provider business mailing address

PO BOX 840844
DALLAS TX
75284-0844
US

V. Phone/Fax

Practice location:
  • Phone: 303-438-3999
  • Fax: 720-439-9500
Mailing address:
  • Phone: 303-377-7638
  • Fax: 303-780-0787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: LEORA J BREWER
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 303-783-4908