MATTHEW BUCKNEBERG (NPI# 1790084499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790084499 |
| Entity Type | Individual |
| Full Name | MATTHEW BUCKNEBERG |
| Practice Address |
12300 Metcalf Ave Anesthesia Dept Overland Park KS 66213-1324 |
| Mailing Address |
9233 Ward Pkwy Suite 230 Kansas City MO 64114-3366 |
| Practice Telephone | 8163896030 |
| Practice Fax Number | 8163896034 |
| Mailing Telephone | 8163896030 |
| Mailing Fax Number | 8163896034 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 14104168 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12300 METCALF AVE ANESTHESIA DEPT |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245231158 | Charles L Gerwick | Emergency Medicine | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2005-08-02 |
| 1548861537 | Erin Elizabeth Gillitzer | Registered Nurse | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-11-05 |
| 1245830496 | Alexandrea Ann Young | Registered Nurse | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-10-27 |
| 1952933822 | Samantha Boice | Physician Assistant | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-02-10 |
| 1659902880 | Barbara Diann Kelly | Nurse Practitioner | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-01-27 |
| 1023657574 | Elhonei K Alemu | Occupational Therapist | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-01-02 |
| 1447800131 | Advanced Radiology Consultants of Kansas City, Pa | Radiology | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2019-09-16 |
| 1336601335 | Saint Luke's South Hospital Inc. | Hospitalist | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2019-04-01 |
| 1871009068 | Sharlene Marie Clary | Radiology | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2017-12-25 |
| 1295253458 | Megan Kathleen Hartman | Occupational Therapist | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2017-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1306199823 | Molly Ann Vincent | Nurse Anesthetist, Certified Registered | 5721 W. 119th St, Overland Park, KS 66209 | 2012-10-22 |
| 1053607036 | Adam Jeremy Hoover | Nurse Anesthetist, Certified Registered | 8717 W. 110th St., Bldg. 14 Ste. 600, Overland Park, KS 66210-2144 | 2011-06-28 |
| 1043531205 | Danielle Marie Haanstad | Nurse Anesthetist, Certified Registered | 10339 Long St, Overland Park, KS 66215-2237 | 2010-06-22 |
| 1336345867 | Elizabeth Patrice Debauge-katzer | Nurse Anesthetist, Certified Registered | 7617 W 64th St, Overland Park, KS 66202-3812 | 2007-06-22 |
| 1154425734 | Ruth A Morris | Nurse Anesthetist, Certified Registered | 10437 W 125th Ter, Overland Park, KS 66213-2172 | 2006-09-12 |
| 1588220578 | Apollo Medical Group of Overland Park LLC | Nurse Anesthetist, Certified Registered | 6650 W 110th St Ste 300, Overland Park, KS 66211-1546 | 2019-05-15 |
| 1386207025 | Tyson Mark Frost | Nurse Anesthetist, Certified Registered | 5721 W 119th St, Overland Park, KS 66209-3753 | 2019-04-18 |
| 1508381732 | Alyssa A Jones | Nurse Anesthetist, Certified Registered | 8717 W 110th St Ste 600, Overland Park, KS 66210-2126 | 2017-08-09 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
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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.