PRO ANESTHESIA LLC (NPI# 1699847558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699847558 |
| Entity Type | Organization |
| Organization Name | PRO ANESTHESIA LLC |
| Practice Address |
1008 N Main St Sikeston MO 63801-5044 |
| Mailing Address |
Po Box 220 Sikeston MO 63801-0220 |
| Practice Telephone | 8884477220 |
| Practice Fax Number | 3368841643 |
| Mailing Telephone | 8884477220 |
| Mailing Fax Number | 3368841643 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2010-06-21 |
| Authorized Official Name | KENNETH CHI-KONG MOY (OWNER) |
| Authorized Official Telephone | 8002778151 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS | 125876 | 01 |
| Street Address |
1008 N MAIN ST |
| City | SIKESTON |
| State | MO |
| Zip Code | 63801-5044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987725 | Heather Vanpool | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2020-09-23 |
| 1457998809 | Stacy Latham | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2019-12-04 |
| 1336612779 | Rowdy James Phillips | Registered Nurse | 1008 N Main St, Sikeston, MO 63801-5044 | 2019-01-08 |
| 1538637939 | Christopher White | Pharmacist | 1008 N Main St, Sikeston, MO 63801-5044 | 2018-11-05 |
| 1891270666 | Alexandria M Barker | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2018-09-27 |
| 1265936637 | Jennifer Heuring | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2018-03-21 |
| 1922501923 | Kristin Presley | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2018-03-15 |
| 1467952606 | James Jeremiah Mooty | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2018-02-14 |
| 1427575299 | Sikeston Emergency Group LLC | Physician Assistant | 1008 N Main St, Sikeston, MO 63801-5044 | 2017-08-23 |
| 1053835918 | Margaret Rachel Coppage | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2017-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1992212153 | Sharaye Gilmore | Social Worker | 135 Plaza Dr Suite 102, Sikeston, MO 63801 | 2018-01-09 |
| 1730606385 | Megan Leann Schlosser | Occupational Therapy Assistant | Kenny Rogers Children's Center, 300 Floyd Dr., Sikeston, MO 63801 | 2017-08-24 |
| 1780130930 | Delta South Adult Care Center LLC | Clinic/Center | 640 Colonel George E Day Parkway, Sikeston, MO 63801 | 2016-08-28 |
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1134361868 | Sikeston Rehab, LLC | Physical Therapy Assistant | 806 S. Kingshighway, Sikeston, MO 63801 | 2009-03-26 |
| 1508066978 | Paula Kaye Beck | Occupational Therapist | 2016 Oklahoma Ave, Sikeston, MO 63801 | 2007-07-23 |
| 1740497551 | James D West | Audiologist | 903 South Kingshighway, Sikeston, MO 63801 | 2007-05-17 |
| 1619190162 | Syed Muhammad Shahab Sayeed | Psychiatry & Neurology | 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 | 2007-04-11 |
| 1629195607 | Melissa A Stewart | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Dacus, Sikeston, MO 63801 | 2007-03-23 |
| Find all providers in zip 63801 | ||||
| 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 |
|---|---|---|---|---|
| 1639164189 | Kenneth Chi-kong Moy | Anesthesiology | 201 Plaza Dr Ste C, Sikeston, MO 63801-5105 | 2005-09-12 |
| 1396116521 | Resource Anesthesiology Associates of Mo LLC | Anesthesiology | 1008 N Main St, Sikeston, MO 63801-5044 | 2015-10-14 |
| 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.