MR. BROOK H. ROBERTS (NPI# 1629375977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629375977 |
| Entity Type | Individual |
| Full Name | MR. BROOK H. ROBERTS |
| Credential | CRNA |
| Practice Address |
629 S Plummer Ave Chanute KS 66720 |
| Mailing Address |
1008 Osa Martin Blvd Chanute KS 66720-1830 |
| Practice Telephone | 6204314000 |
| Practice Fax Number | 6204317556 |
| Mailing Telephone | 3168331165 |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2018-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 111346 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 557008 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PENDING | 05 |
| Street Address |
629 S PLUMMER AVE |
| City | CHANUTE |
| State | KS |
| Zip Code | 66720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831195163 | William L Dillon | Orthopaedic Surgery | 629 S Plummer Ave, Chanute, KS 66720-1928 | 2005-06-22 |
| 1427680008 | Margaret Ann Matlock | Nurse Practitioner | 629 S Plummer Ave, Chanute, KS 66720-1928 | 2020-02-11 |
| 1275179434 | Neosho Memorial Regional Medical Center | Surgery | 629 S Plummer Ave, Chanute, KS 66720-1928 | 2019-11-22 |
| 1063993764 | Alexa Kate Gutschenritter | Physical Therapy Assistant | 629 S Plummer Ave, Chanute, KS 66720-1928 | 2018-08-22 |
| 1760963474 | Jessica Dawn Schaaf | Physical Therapist | 629 S Plummer Ave, Chanute, KS 66720-1928 | 2018-08-22 |
| 1245710565 | Tosha Leann Oneal | Physical Therapy Assistant | 629 S Plummer Ave, Chanute, KS 66720-1928 | 2018-08-16 |
| 1770063372 | Tara Janae Guinotte | Occupational Therapy Assistant | 629 S Plummer Ave, Chanute, KS 66720-1928 | 2018-08-14 |
| 1235658451 | Jessica Leis | Occupational Therapy Assistant | 629 S Plummer Ave, Chanute, KS 66720-1928 | 2017-09-19 |
| 1730607615 | Mallori Jacks | Physician Assistant | 629 S Plummer Ave, Chanute, KS 66720-1928 | 2017-08-31 |
| 1588185342 | Kellie C Eccles | Occupational Therapist | 629 S Plummer Ave, Chanute, KS 66720-1928 | 2017-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548813967 | Clinical Colleagues Ks Pa | Anesthesiology | 629 Plummer Ave, Chanute, KS 66720 | 2019-07-24 |
| 1912314386 | Matthew M Bogle | Nurse Practitioner | 2613 S Santa Fe Ave, Chanute, KS 66720 | 2014-07-17 |
| 1386057792 | Kenneth Eugene Wood Jr. | Contractor | 215 N Washington Ave, Chanute, KS 66720 | 2014-06-04 |
| 1578825006 | Jillina L Frazell | Registered Nurse | 2613 South Santa Fe, Chanute, KS 66720 | 2012-06-11 |
| 1871897629 | Katie Maria Holtzman | Physical Therapist | 629 S. Plummer, Chanute, KS 66720 | 2011-01-07 |
| 1588716963 | Amy M White Blakesley | Psychologist | 402 S Kansas, Chanute, KS 66720 | 2007-01-17 |
| 1669565610 | Pharmacy Mangagement, LLC | Pharmacy | 1720 S Santa Fe Ave, Box 126, Chanute, KS 66720 | 2006-10-02 |
| 1710995519 | William D Vietti | Optometrist | 32 W Main, Chanute, KS 66720 | 2006-08-04 |
| 1568408821 | Timothy D. Weilert | Chiropractor | 720 S. Santa Fe, Chanute, KS 66720 | 2006-06-22 |
| 1699743989 | Jack L Lowe | Optometrist | 15 N Highland, Chanute, KS 66720 | 2006-03-10 |
| Find all providers in zip 66720 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881849222 | Thomas Frederick Payne Jr. | Nurse Anesthetist, Certified Registered | 1110 W Elm St, Chanute, KS 66720-1430 | 2008-11-26 |
| 1629048343 | Gregg Alan Rickabaugh | Nurse Anesthetist, Certified Registered | 629 S Plummer, Chanute, KS 66720 | 2006-01-25 |
| 1487625984 | Chanute Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 629 S Plummer, Chanute, KS 66720 | 2006-02-01 |
| 1023088747 | Monty Roy John | Nurse Anesthetist, Certified Registered | 629 S Plummer Ave, Chanute, KS 66720 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914277 | Steel Anesthesia Services Pa | Nurse Anesthetist, Certified Registered | 411 N Campus Dr, Garden City, KS 67846-6195 | 2020-08-26 |
| 1821637398 | Kari Anne Nunn | Nurse Anesthetist, Certified Registered | Anesthesia Associates of Central Kansas, P.a., 200 S. 5th St, Salina, KS 67401 | 2020-01-02 |
| 1700431228 | Kari Kreger | Nurse Anesthetist, Certified Registered | 508 Douglas St, Jetmore, KS 67854 | 2019-08-02 |
| 1821509753 | Kolton Levi Tanner Alexander | Nurse Anesthetist, Certified Registered | Rooks County Heath Center 1210 N Washington, Plainville, KS 67663 | 2017-10-18 |
| 1245740018 | Kansas Endoscopy LLC | Nurse Anesthetist, Certified Registered | 3121 N Webb Rd Ste 107, Wichita, KS 67226-8119 | 2017-10-06 |
| 1922520725 | Landmark Anesthesia of Kansas LLC | Nurse Anesthetist, Certified Registered | 6650 W 110th St # 300, Overland Park, KS 66211-1501 | 2017-07-13 |
| 1033648340 | Alexis Zecy | Nurse Anesthetist, Certified Registered | 10203 Bond St, Overland Park, KS 66214-2724 | 2017-06-08 |
| 1386183481 | Melissa Albers | Nurse Anesthetist, Certified Registered | 412 N Mulberry Ct, Gardner, KS 66030-1723 | 2017-02-22 |
| 1700334067 | Superior Anesthesia | Nurse Anesthetist, Certified Registered | 2913 Yaeger Dr, Winfield, KS 67156-8533 | 2016-09-15 |
| 1518316744 | Bree Howard | Nurse Anesthetist, Certified Registered | 2101 Tomahawk Rd, Mission Hills, KS 66208-1950 | 2016-06-08 |
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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.