LIFEWAVE TECHNOLOGY GROUP LLC (NPI# 1861753543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861753543 |
| Entity Type | Organization |
| Organization Name | LIFEWAVE TECHNOLOGY GROUP LLC |
| Practice Address |
8637 Delmar Blvd Saint Louis MO 63124-1906 |
| Practice Telephone | 3148800717 |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2018-09-12 |
| Authorized Official Name | ALYSEN BAER (MANAGER) |
| Authorized Official Telephone | 3148800717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17205 Chesterfield Airport Rd, Chesterfield, MO 630051423 | 3149830303 |
| Street Address |
8637 DELMAR BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63124-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275589038 | Vincent J Staschiak | Podiatrist | 8637 Delmar Blvd, Saint Louis, MO 63124-1906 | 2006-05-25 |
| 1316182173 | Ips of St Louis LLC | Anesthesiology | 8637 Delmar Blvd, Saint Louis, MO 63124-1906 | 2008-12-09 |
| 1548484819 | Feet for Life Centers Inc PC | Chiropractor | 8637 Delmar Blvd, Saint Louis, MO 63124-1906 | 2007-04-11 |
| 1053409896 | Mid County Surgery Center | Clinic/Center | 8637 Delmar Blvd, Saint Louis, MO 63124-1906 | 2006-10-10 |
| 1689762429 | Michael H Horwitz | Podiatrist | 8637 Delmar Blvd, Saint Louis, MO 63124-1906 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174174775 | Nicholas Simpson | Nurse Practitioner | 8857 Ladue Road, St. Louis, MO 63124 | 2019-09-25 |
| 1144774647 | Carolyn Ashley Myles Versical | Psychologist | 26 Godwin Ln, Saint Louis, MO 63124 | 2016-08-12 |
| 1740669373 | Victor's Home Care Cds, LLC | Hospice Care, Community Based | 8420 Delmar Blvd, Ste 507, St. Louis, MO 63124 | 2015-05-28 |
| 1851784490 | Bryan Watanabe Dds Ladue Dental Group, PC | Dentist | 8859 Ladue Road, Ladue, MO 63124 | 2015-03-06 |
| 1689072324 | Ladue Internal Medicine, LLC | Internal Medicine | 8857 A Ladue Rd., Ladue, MO 63124 | 2014-12-11 |
| 1043557150 | Ronald Nathan Riner | Internal Medicine | 9847 Waterbury Drive, St. Louis, MO 63124 | 2013-01-09 |
| 1295099638 | David Stuart Sonderman | Pediatrics | 8888 Ladue Road, Ste 100, Saint Louis, MO 63124 | 2012-06-29 |
| 1255637799 | Kyu S Her | Pediatrics | 624 Haverford Road, St. Louis, MO 63124 | 2011-02-01 |
| 1194983833 | Roberte Kuhlman | Orthopaedic Surgery | 12 Upper Barnes, St Louis, MO 63124 | 2008-05-29 |
| 1467507673 | Mark William Aylward | Dentist | 9216 Clayton Road, Suite 118, St Louis, MO 63124 | 2007-01-25 |
| Find all providers in zip 63124 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1245644806 | Nicole Fadler Stevens | Nurse Anesthetist, Certified Registered | 1 Barnes Jewish Hospital Plz Dept Of, Saint Louis, MO 63110-1003 | 2014-06-11 |
| 1467711226 | Jacob William Pressler | Nurse Anesthetist, Certified Registered | 725 Tuxedo Blvd, Saint Louis, MO 63119-1946 | 2012-05-14 |
| 1861718165 | Janna Sue Ford | Nurse Anesthetist, Certified Registered | 1304 Millbay Ct, Saint Louis, MO 63129-3171 | 2010-04-12 |
| 1407895030 | Scott Jeffrey Weinerth | Nurse Anesthetist, Certified Registered | 6122 Terri Lynn Dr, Saint Louis, MO 63123-1678 | 2006-06-06 |
| 1518913938 | Annie Mcnulty-jennings | Nurse Anesthetist, Certified Registered | 10535 Landseer Dr, Saint Louis, MO 63136-4530 | 2006-05-26 |
| 1417906579 | Diane Richter | Nurse Anesthetist, Certified Registered | 3015 N. Ballas Rd., Saint Louis, MO 63160-0001 | 2006-05-08 |
| 1699723510 | Mark Erwin Holthaus | Nurse Anesthetist, Certified Registered | 10811 Kennerly Rd, Saint Louis, MO 63128-2016 | 2006-05-04 |
| 1477539351 | Theresa Stearns | Nurse Anesthetist, Certified Registered | 5571 Bartmer Ave., Saint Louis, MO 63112-3406 | 2005-12-21 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63124 |
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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.