Healthcare Provider Details
I. General information
NPI: 1265525133
Provider Name (Legal Business Name): ANESTHESIA SERVICES OF BLUE SPRINGS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4150 N MULBERRY DR STE 100 ANESTHESIA SERVICES BLUE SPRINGS/BRIARCLIFF SURGERY CTR
KANSAS CITY MO
64116-1779
US
IV. Provider business mailing address
1209 NW NORTH RIDGE DR STE B ANESTHESIA SERVICES OF BLUE SPRINGS
BLUE SPRINGS MO
64015-6320
US
V. Phone/Fax
- Phone: 816-988-8415
- Fax: 816-988-8395
- Phone: 816-988-8415
- Fax: 816-988-8395
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LC0200X |
| Taxonomy | Critical Care Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | MO |
VIII. Authorized Official
Name: DR.
STEVEN
W.
MCFEE
Title or Position: PRESIDENT
Credential: MD
Phone: 816-988-8415