Healthcare Provider Details

I. General information

NPI: 1649283177
Provider Name (Legal Business Name): ST LUKES EAST ANESTHESIA SERVICES,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NE SAINT LUKES BLVD
LEES SUMMIT MO
64086-6000
US

IV. Provider business mailing address

10310 STATE LINE RD STE A
LEAWOOD KS
66206-2695
US

V. Phone/Fax

Practice location:
  • Phone: 816-347-5800
  • Fax: 816-347-5899
Mailing address:
  • Phone: 913-647-4101
  • Fax: 913-647-4121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES MICHAEL WARING
Title or Position: PRESIDENT
Credential: M.D.
Phone: 816-347-5800