Healthcare Provider Details

I. General information

NPI: 1194828673
Provider Name (Legal Business Name): OUTPATIENT ANESTHESIA SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E 101ST TER
KANSAS CITY MO
64131-4271
US

IV. Provider business mailing address

701 E 101ST TER
KANSAS CITY MO
64131-4271
US

V. Phone/Fax

Practice location:
  • Phone: 479-925-8914
  • Fax:
Mailing address:
  • Phone: 479-925-8914
  • Fax: 314-821-1833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JONAH GARRETT
Title or Position: PRESIDENT
Credential: MD
Phone: 479-925-8914