SHERIDAN HEALTHCARE OF MISSOURI, INC. (NPI# 1730556606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730556606 |
| Entity Type | Organization |
| Organization Name | SHERIDAN HEALTHCARE OF MISSOURI, INC. |
| Practice Address |
201 Nw R D Mize Rd Blue Springs MO 64014-2513 |
| Mailing Address |
Po Box 744548 Atlanta GA 30374-4548 |
| Practice Telephone | 8169433057 |
| Mailing Telephone | 9548382371 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2019-09-18 |
| Authorized Official Name | KATHLEEN KONDAS (OFFICER) |
| Authorized Official Telephone | 9548382371 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396171021 | Sheridan Healthcare of Missouri, Inc. | Nurse Anesthetist, Certified Registered | 403 Burkarth Rd, Warrensburg, MO 64093-3101 | 2013-09-26 |
| Street Address |
201 NW R D MIZE RD |
| City | BLUE SPRINGS |
| State | MO |
| Zip Code | 64014-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831197680 | Olga Alex Chernyak | Nurse Anesthetist, Certified Registered | 201 Nw R D Mize Rd, St. Mary's Medical Center/anesthesia Services of Blue S, Blue Springs, MO 64014-2513 | 2005-07-13 |
| 1053933150 | Corey Pagnotta | Surgery | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2020-05-12 |
| 1104446376 | Benjamin Joel Koerner | Student in an Organized Health Care Education/Training Program | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2020-04-17 |
| 1336789973 | Elizabeth Jonelle Martin | Physical Therapist | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2020-01-12 |
| 1780157172 | Spine Pain and Rehab Associates LLC | Physical Medicine & Rehabilitation | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2019-01-08 |
| 1306315692 | Jackson Emergency Physicians LLC | Emergency Medicine | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2018-11-16 |
| 1952896748 | Sally Emma Smith | Surgery | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2018-06-25 |
| 1851812945 | Luke Clippard | Surgery | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2017-06-29 |
| 1982125076 | Troy Tyler | Surgery | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2017-06-29 |
| 1255860029 | Michael Andrew Roth | Anesthesiologist Assistant | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2017-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756319 | Ltaj Properties LLC | Physical Therapist | 514 Nw State 7 Hwy, Suite A, Blue Springs, MO 64014 | 2020-10-05 |
| 1790397198 | Miranda Bramble | Pharmacist | 1701 Nw Highway 7, Blue Springs, MO 64014 | 2020-08-18 |
| 1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
| 1629637764 | Beau Devereux Butzirus | Dentist | 1125 South Mo-7, Blue Springs, MO 64014 | 2019-06-12 |
| 1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
| 1588101224 | Andy Anderson | Prevention Professional | 2705 Nw 3rd Ter, Blue Springs, MO 64014 | 2017-01-19 |
| 1801250469 | Louis Spear | Dentist | 1215 A Nw 7 Highway, Blue Springs, MO 64014 | 2016-04-11 |
| 1083027411 | Alex Sharifian Dds Blue Springs Dentistry PC | Dentist | 1205 Ne Coronado Drive, Blue Springs, MO 64014 | 2014-06-03 |
| 1730512336 | Valerie Fombon | Pharmacist | 625 W 40 Hwy, Blue Springs, MO 64014 | 2013-08-19 |
| 1356692750 | Central Jackson County Fire Protection District | Ambulance | 805 Ne Jefferson St, Blue Springs, MO 64014 | 2012-09-25 |
| Find all providers in zip 64014 | ||||
| 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 |
|---|---|---|---|---|
| 1548258403 | David Paul Breyer | Anesthesiology | 1209 Nw North Ridge Dr Ste B, Anesthesia Services of Blue Springs, Blue Springs, MO 64015-6320 | 2005-10-13 |
| 1588765135 | Steven Wayne Mcfee | Anesthesiology | 1209 Nw North Ridge Dr Ste B, Anesthesia Services of Blue Springs, Blue Springs, MO 64015-6320 | 2006-09-26 |
| 1104927755 | David E Thompson | Anesthesiology | 1209 Nw North Ridge Dr Ste B, Anesthesia Services of Blue Springs, Blue Springs, MO 64015-6320 | 2006-09-26 |
| 1821199480 | Steven C Weaver | Anesthesiology | 1209 Nw North Ridge Dr Ste B, Anesthesia Services of Blue Springs, Blue Springs, MO 64015-6320 | 2006-09-26 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BLUE SPRINGS |
| Zip Code | 64014 |
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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.