BROAD MIDWEST ANESTHESIA, LLC (NPI# 1376705848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376705848 |
| Entity Type | Organization |
| Organization Name | BROAD MIDWEST ANESTHESIA, LLC |
| Practice Address |
12345 W Bend Dr Suite 200 Saint Louis MO 63128-2182 |
| Mailing Address |
501 Glades Rd Boca Raton FL 33432-1419 |
| Practice Telephone | 3148438000 |
| Mailing Telephone | 9548382371 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2019-08-12 |
| Authorized Official Name | GILBERT L. DROZDOW (CHIEF CLINICAL OFFICER) |
| Authorized Official Telephone | 9548382371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | LC0897403 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
12345 W BEND DR SUITE 200 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380655 | Anita Renee Schnapp | Obstetrics & Gynecology | 12345 W Bend Dr, Ste 105, Saint Louis, MO 63128-2182 | 2005-07-21 |
| 1831599059 | South County Women's Health, P.C. | Obstetrics & Gynecology | 12345 W Bend Dr, 105, Saint Louis, MO 63128-2182 | 2014-08-25 |
| 1972942985 | Herman Kendrith Beebe IIi | Internal Medicine | 12345 W Bend Dr, Ste 300, Saint Louis, MO 63128-2182 | 2013-06-24 |
| 1336376714 | Howard Bon Hsu | Internal Medicine | 12345 W Bend Dr, Suite 300, Saint Louis, MO 63128-2182 | 2009-06-12 |
| 1225298680 | Tonya M Winfrey | Nurse Anesthetist, Certified Registered | 12345 W Bend Dr, Suite 201, Saint Louis, MO 63128-2182 | 2008-06-10 |
| 1083884894 | South County Surgical Center, LLC | Clinic/Center | 12345 W Bend Dr, Suite 201, Saint Louis, MO 63128-2182 | 2008-03-07 |
| 1912026345 | Linda Darlene Stefano | Nurse Practitioner | 12345 W Bend Dr, Suite 200, Saint Louis, MO 63128-2104 | 2007-03-28 |
| 1699805333 | Barry Joe Smith | Anesthesiology | 12345 W Bend Dr, Suite 201, Saint Louis, MO 63128-2182 | 2007-03-06 |
| 1881702728 | South County Imaging Center LLC | Radiology | 12345 W Bend Dr, Ste 200, Saint Louis, MO 63128-2104 | 2006-08-29 |
| 1003824350 | South County Urological, Inc. | Urology | 12345 W Bend Dr, Suite 200, Saint Louis, MO 63128-2104 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| 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 |
|---|---|---|---|---|
| 1174048250 | Austin Lohse | Anesthesiology | 660 S Euclid Ave Dept Of, Saint Louis, MO 63110-1010 | 2017-08-09 |
| 1699185249 | Kunj G Patel | Anesthesiology | 4455 Duncan Ave Ste 8n, Saint Louis, MO 63110-1111 | 2014-05-05 |
| 1043630981 | William Owens | Anesthesiology | 500 N and South Rd Apt 102, Saint Louis, MO 63130-3937 | 2014-04-18 |
| 1891053229 | Daniel James Cook | Anesthesiology | 1101 Lucas Ave Ste 200, Saint Louis, MO 63101-1159 | 2012-04-23 |
| 1760748842 | Mary Ann Cheng Md LLC | Anesthesiology | 4909 Laclede Ave Apt 1006, Saint Louis, MO 63108-1425 | 2012-04-03 |
| 1245528595 | David Hastie | Anesthesiology | 660 S Euclid Ave # Cb8054, Saint Louis, MO 63110 | 2011-07-20 |
| 1447552880 | Pinnacle Medical Services LLC | Anesthesiology | 3212 Clifton Ave Apt A, Saint Louis, MO 63139-2365 | 2010-11-17 |
| 1922310929 | Matthew Taylor Nelson | Anesthesiology | 6018 Wagon Mount Ct, Saint Louis, MO 63129-4043 | 2010-07-07 |
| 1336450188 | Andrew J Riester | Anesthesiology | 1 N Grand Blvd, Saint Louis, MO 63103-2006 | 2010-06-27 |
| 1760793699 | Phillip Copper | Anesthesiology | 600 S Euclid Ave # Cb8054, Saint Louis, MO 63110-1010 | 2010-06-25 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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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.