Healthcare Provider Details

I. General information

NPI: 1760439533
Provider Name (Legal Business Name): ANESTHESIOLOGY, CHARTERED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8929 PARALLEL PKWY
KANSAS CITY KS
66112-1689
US

IV. Provider business mailing address

PO BOX 171043
KANSAS CITY KS
66117-0043
US

V. Phone/Fax

Practice location:
  • Phone: 913-596-4100
  • Fax: 913-596-4622
Mailing address:
  • Phone: 913-491-0668
  • Fax: 913-491-0411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: DR. MARY ANNE CHERNOFF
Title or Position: PRESIDENT
Credential: M.D.
Phone: 913-596-4100