MERCY CLINIC ANESTHESIOLOGY - WASHINGTON, LLC (NPI# 1407860711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407860711 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC ANESTHESIOLOGY - WASHINGTON, LLC |
| Other Organization Name | ST. JOHN'S MERCY HOSPITAL ANESTHESIA SERVICES |
| Practice Address |
901 E 5th St Washington MO 63090-3127 |
| Practice Telephone | 6362398000 |
| Mailing Telephone | 6362398000 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2014-04-11 |
| Authorized Official Name | JOHN W. HUBERT (PRESIDENT) |
| Authorized Official Telephone | 3142511560 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY CLINIC EAST COMMUNITIES |
| 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 |
| Other Name | Type Code |
|---|---|
| St. John's Mercy Hospital Anesthesia Services | Former Legal Business Name - Organization |
| Street Address |
901 E 5TH ST |
| City | WASHINGTON |
| State | MO |
| Zip Code | 63090-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407837735 | Thomas R Piontek | Registered Nurse | 901 E 5th St, Washington, MO 63090-3127 | 2005-11-14 |
| 1518572528 | Shauna Sanderson | Registered Nurse | 901 E 5th St, Washington, MO 63090-3127 | 2020-09-15 |
| 1841835923 | Alissa Wooden | Dietitian, Registered | 901 E 5th St, Washington, MO 63090-3127 | 2019-11-12 |
| 1043783764 | Christopher Schloss | Pharmacist | 901 E 5th St, Washington, MO 63090-3127 | 2019-01-04 |
| 1588136162 | Richard L Lemons | Pharmacist | 901 E 5th St, Washington, MO 63090-3127 | 2018-12-20 |
| 1902378599 | Jessica Kathleen Brinkmeyer | Pharmacist | 901 E 5th St, Washington, MO 63090-3127 | 2018-12-20 |
| 1114407194 | Janice Hansen | Physical Therapy Assistant | 901 E 5th St, Washington, MO 63090-3127 | 2018-08-18 |
| 1205282639 | Lydia Luisa Archuleta | Internal Medicine | 901 E 5th St, Washington, MO 63090-3127 | 2016-05-04 |
| 1396173860 | Mercy Labs Washington, LLC | Clinical Medical Laboratory | 901 E 5th St, Washington, MO 63090-3127 | 2013-10-21 |
| 1194160127 | Colleen Marie Wingate | Internal Medicine | 901 E 5th St, Washington, MO 63090-3127 | 2013-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1962975839 | Jennifer Biermann | Pharmacist | 801 E 5th Street, Washington, MO 63090 | 2019-01-03 |
| 1487199733 | Kristen Elaine Cleavelin | Registered Nurse | Mercy Convenient Care, 901 Patients First Drive, Washington, MO 63090 | 2016-12-22 |
| 1699146712 | Washington Community Counseling Center | Community/Behavioral Health | 421 W. 5th Street, Suite 110, Washington, MO 63090 | 2015-10-15 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1578824116 | Rhonda Ann Pepmiller | Nurse Practitioner | 851 E 5th St Ste 309, Washington, MO 63090 | 2012-05-30 |
| 1932486032 | Julie Joanne Lynch | Pharmacist | 890 Country Corners, Washington, MO 63090 | 2011-11-03 |
| 1043590839 | Laurie Elizabeth Bryson | Counselor | 102 Elm Street, Suite 204, Washington, MO 63090 | 2011-08-24 |
| 1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
| 1154640225 | Nicholas W Frederickson | Internal Medicine | 901 Patients First Drive Suite 3300, Washington, MO 63090 | 2010-05-27 |
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| 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 |
|---|---|---|---|---|
| 1760803480 | John Kenton Desmarteau | Anesthesiology | 4651 Massachusetts Ave Nw, Washington, DC 20016-2361 | 2013-12-23 |
| 1679909709 | William Atkins Kammerer | Anesthesiology | 3315 Wisconsin Ave Nw, #506, Washington, DC 20016-3800 | 2013-09-20 |
| 1598101859 | Shaan Sudhakaran | Anesthesiology | 3 Washington Cir Nw # 30520037, Washington, DC 20037 | 2013-05-14 |
| 1336417674 | Lauren Marie Baker | Anesthesiology | 3420 R St Nw Apt 1, Washington, DC 20007-2346 | 2011-12-01 |
| 1437456951 | Metromac Anesthesiology, Pllc | Anesthesiology | 5225 Loughboro Rd Nw, Washington, DC 20016-2633 | 2011-02-18 |
| 1447487897 | Brent Alan Gilmore | Anesthesiology | 3800 Reservoir Rd Nw, Ccc Building, Lower Level Rm Cl60, Georgetown University Medical Center, Washington, DC 20007 | 2009-06-12 |
| 1487828802 | Erin M Freilich | Anesthesiology | Walter Reed Army Medical Center Dept of Anesthesia, 6900 Georgia Avenue, Washington, DC 20307-0001 | 2008-04-16 |
| 1386842003 | Karl Michael Grimmer Jr. | Anesthesiology | 2120 Vermont Ave Nw Apt 205, Washington, DC 20001-4054 | 2007-07-03 |
| 1457557118 | Aaric Queen | Anesthesiology | Wramc, Bldg 2, 2j38, 6900 Georgia Ave, Nw, Washington, DC 20307 | 2007-06-21 |
| 1578767463 | Western Pennsylvania Oral and Maxillofacial Surgery PC | Anesthesiology | 2112 N Franklin Drive, Suite 2, Washington, PA 15301-1530 | 2007-06-13 |
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| City | WASHINGTON |
| Zip Code | 63090 |
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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.