KELLEY L MAUGHON


Address: 98 Medical Dr, Hannibal, MO 63401-6885
Phone: 5734061301

KELLEY L MAUGHON (NPI# 1811035231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811035231
Entity Type Individual
Full Name KELLEY L MAUGHON
Other Name KELLEY L MUNROE
Credential CRNA
Practice Address 98 Medical Dr
Hannibal
MO 63401-6885
Mailing Address Po Box 511
Hannibal
MO 63401-0511
Practice Telephone 5734061301
Practice Fax Number 5734060511
Mailing Telephone 5734061301
Mailing Fax Number 5734060511
Enumeration Date 2007-02-01
Last Update Date 2014-03-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 367500000X Nurse Anesthetist, Certified Registered 6003A KY Physician Assistants & Advanced Practice Nursing Providers
Y 367500000X Nurse Anesthetist, Certified Registered 2002022036 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO MO BLUE SHIELD 175118 01
AR ARK BLUE SHIELD 83410 01
AR 158119001 05
MO 917229908 05

Office Location

Street Address 98 MEDICAL DR
City HANNIBAL
State MO
Zip Code 63401-6885

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255981064 Amanda Lynn Jennings Nurse Practitioner Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 2019-09-13
1316452295 Hannibal Regional Healthcare System, Inc Hospice Care, Community Based 6401 Hwy Mm, Hannibal, MO 63401 2017-12-13
1932614351 Sidney M Johnson Counselor 1221 Broadway St, Hannibal, MO 63401 2017-12-07
1316467210 Jessica Baker Counselor 4355 Paris Gravel Road, Hannibal, MO 63401 2017-06-21
1346787066 Hands Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 17 Settlerstrail, Hannibal, MO 63401 2017-01-20
1134571672 Pamela Barrigar Social Worker 4600 Mcmasters Ave, Hannibal, MO 63401 2016-07-08
1639540677 Jessica Murfin Speech-Language Pathologist 544 N Veterans Rd, Hannibal, MO 63401 2015-10-16
1366835639 Cpo Services, Inc. Prosthetic/Orthotic Supplier 8965 Highway 36 Ste 3, Hannibal, MO 63401 2015-03-11
1639324254 Hannibal Medical Supplies, LLC Durable Medical Equipment & Medical Supplies 118 Steam Boat Bend, Hannibal, MO 63401 2008-11-24
1780856112 Barbara Belle Smith Social Worker 3700 Hwy Mm, Hannibal, MO 63401 2008-03-26
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811259955 Susanne Renee Owens Nurse Anesthetist, Certified Registered 6000 Hospital Dr, Hannibal, MO 63401-6887 2012-06-14
1194910042 Janell Dianne Martin Nurse Anesthetist, Certified Registered 6000 Hospital Dr, Hannibal, MO 63401-6887 2007-09-12
1528111325 Steven D Fetzer Nurse Anesthetist, Certified Registered 6000 Hospital Dr, Anesthesiology, Hannibal, MO 63401-6887 2007-01-18
1083648513 Robert Curtis Ahrens Nurse Anesthetist, Certified Registered 6000 Hospital Drive, Hannibal, MO 63401-1257 2006-07-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285251066 Yousra Amor Nurse Anesthetist, Certified Registered St Luke's Des Peres Hospital, 2345 Dougherty Ferry Rd, St Louis, MO 63122-3313 2020-06-29
1457970899 William Moran Nurse Anesthetist, Certified Registered 910 Daffodil Ridge Dr, O Fallon, MO 63366-7760 2020-04-15
1437784329 Apollo Medical Group of Lee's Summit LLC Nurse Anesthetist, Certified Registered 2861 Ne Independence Ave Ste 101, Lees Summit, MO 64064-2379 2020-03-11
1780228155 Olde Cabin Anesthesia Nurse Anesthetist, Certified Registered 11525 Olde Cabin Rd Ste 101, Creve Coeur, MO 63141-7146 2019-10-29
1831652049 Kristin S Turner Nurse Anesthetist, Certified Registered 8991 State Highway 171, Carl Junction, MO 64834-6148 2019-04-14
1629536271 Cameron David Hayter Nurse Anesthetist, Certified Registered 1951 N Citation Ave, Springfield, MO 65802-5406 2019-03-03
1649756099 River City Sedation Associates, LLC Nurse Anesthetist, Certified Registered 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 2018-07-18
1548767783 Chynna Janae Lorusso Nurse Anesthetist, Certified Registered 5321 Shaw Ave, Saint Louis, MO 63110-3023 2018-04-12
1689108839 Todd Aaron Macdonald Nurse Anesthetist, Certified Registered 2119 Highlander Dr, Joplin, MO 64804-7005 2017-04-14
1164883468 James Dwain Holden Nurse Anesthetist, Certified Registered 22888 County Road 283, Puxico, MO 63960-7338 2016-03-14
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Competitor

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City HANNIBAL
Zip Code 63401

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Dataset Information

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.

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