NORTHSTAR ANESTHESIA OF KENTUCKY II, PLLC (NPI# 1225587504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225587504 |
| Entity Type | Organization |
| Organization Name | NORTHSTAR ANESTHESIA OF KENTUCKY II, PLLC |
| Practice Address |
3125 Dr Russell Smith Way Carthage MO 64836-7402 |
| Mailing Address |
6225 N State Highway 161 Suite 200 Irving TX 75038-2223 |
| Practice Telephone | 2146870001 |
| Practice Fax Number | 9725182100 |
| Mailing Telephone | 2146870001 |
| Mailing Fax Number | 9725182100 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |
| Authorized Official Name | DR. PHILIP EICHENHOLZ (PRESIDENT) |
| Authorized Official Telephone | 2146870008 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
3125 DR RUSSELL SMITH WAY |
| City | CARTHAGE |
| State | MO |
| Zip Code | 64836-7402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982680666 | Aaron M. Petersen | Nurse Anesthetist, Certified Registered | 3125 Dr Russell Smith Way, Anesthesia Dept, Carthage, MO 64836-7402 | 2005-12-15 |
| 1417570821 | Meghan Metzger | Nurse Practitioner | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2020-05-20 |
| 1356825384 | Jill A Parmley | Nurse Practitioner | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2018-09-15 |
| 1003300286 | Mercy Carthage Anesthesia | Anesthesiology | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2018-06-20 |
| 1710341250 | Ashley Diane Cobb | Dietitian, Registered | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2016-04-11 |
| 1003201955 | Mercy Hospital Carthage | Psychiatry & Neurology | 3125 Dr Russell Smith Way, Carthage, MO 64836 | 2015-03-30 |
| 1912392861 | Mercy Hospital Carthage | Medicare Defined Swing Bed Unit | 3125 Dr Russell Smith Way, Carthage, MO 64836 | 2015-03-30 |
| 1992196778 | Annette Noel Mense | Physician Assistant | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2015-02-14 |
| 1982018727 | Jared Wade Nichols | Neuromusculoskeletal Medicine & OMM | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2014-06-19 |
| 1841616349 | Randi S Norman | Physician Assistant | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2014-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1477098531 | Grace Theios, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6031 County Road 105, Carthage, MO 64836 | 2016-12-28 |
| 1386095255 | Ozark Tri County Healthcare Consortium | Dentist | 215 E 3rd Street, Carthage, MO 64836 | 2016-06-22 |
| 1861668972 | Allison D. O'dell | Social Worker | 2411 Fairlawn Drive, Carthage, MO 64836 | 2008-05-08 |
| 1619142064 | Earl L Kirn | Social Worker | 2411 Fairlawn Ave, Carthage, MO 64836 | 2008-04-28 |
| 1235283912 | Mark F Saladin | Dentist | 1604 Missouri Avenue, Carthage, MO 64836 | 2007-01-22 |
| 1962570465 | Carthage Counseling LLC | Community/Behavioral Health | 2411 Fairlawn Dr, Carthage, MO 64836 | 2006-12-01 |
| 1023191665 | Wal-mart Stores East, Lp | Technician/Technologist | 2705 Grand Ave., Carthage, MO 64836 | 2006-10-24 |
| 1356437180 | Jannette Eldred | Social Worker | 1500 South Case Steet, Carthage, MO 64836 | 2006-10-05 |
| 1144251646 | Peter Richardson | Family Medicine | 719 W Centennial, Carthage, MO 64836 | 2006-07-05 |
| Find all providers in zip 64836 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003300286 | Mercy Carthage Anesthesia | Anesthesiology | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2018-06-20 |
| 1477822567 | Mercy Clinic Joplin LLC | Anesthesiology | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2011-12-20 |
| 1033323993 | Michael Elijah Gordon Jr. | Anesthesiology | 1001 West St, Carthage, NY 13619-9703 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316552433 | West Park Anesthesia, LLC | Anesthesiology | 300 S Mount Auburn Rd Ste 200b, Cape Girardeau, MO 63703-4902 | 2020-09-15 |
| 1780244731 | Matthew Hobart Mardis | Anesthesiology | Department of Anesthesiology 1 Hospital Drive, Columbia, MO 65212-0001 | 2019-06-20 |
| 1366937674 | Jason Arthur Bryce Barnes | Anesthesiology | 1 Hospital Dr # Dc00.500, Columbia, MO 65212-1000 | 2018-06-28 |
| 1699260919 | Suzanne Elizabeth Mundhenke | Anesthesiology | 1 Hospital Dr # Dc005.00, Columbia, MO 65212-1000 | 2018-06-28 |
| 1427569151 | Xenon Health of Missouri LLC | Anesthesiology | 121 Saint Lukes Center Dr Ste 403, Chesterfield, MO 63017-3519 | 2017-10-20 |
| 1174048250 | Austin Lohse | Anesthesiology | 660 S Euclid Ave Dept Of, Saint Louis, MO 63110-1010 | 2017-08-09 |
| 1003346552 | Ryan Daniel Montgomery | Anesthesiology | Department of Anesthesiology One Hospital Dr, Columbia, MO 65212-0001 | 2017-06-18 |
| 1245766641 | Joshua Douglas Blanchard | Anesthesiology | 2302 Oak Ln, Kirksville, MO 63501-2146 | 2017-05-04 |
| 1063947075 | Nilesh Jambhekar | Anesthesiology | University Hospital Ma421 Med Sciences Bldg Dc043.00, Columbia, MO 65212-0001 | 2017-04-27 |
| 1952844557 | Robert M Clemens | Anesthesiology | 3102 Erica, Sedalia, MO 65301-7984 | 2016-11-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.