REVERE ANESTHESIOLOGY LLC (NPI# 1912137712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912137712 |
| Entity Type | Organization |
| Organization Name | REVERE ANESTHESIOLOGY LLC |
| Practice Address |
1101 W Gannon Dr Festus MO 63028-2602 |
| Mailing Address |
2 Howe Xing Festus MO 63028-4044 |
| Practice Telephone | 6369315997 |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |
| Authorized Official Name | DR. RODOLFO L MACEREN (PRESIDENT) |
| Authorized Official Telephone | 6369336569 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | R6445 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1101 W GANNON DR |
| City | FESTUS |
| State | MO |
| Zip Code | 63028-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366693293 | Anesthesia Consultants of Jefferson County LLC | Nurse Anesthetist, Certified Registered | 1101 W Gannon Dr, Festus, MO 63028-2602 | 2008-10-09 |
| 1942818729 | Julie Ann Wilson | Registered Nurse | 1101 W Gannon Dr, Festus, MO 63028-2602 | 2020-07-17 |
| 1851689848 | Arch Anesthesiology LLC | Anesthesiology | 1101 W Gannon Dr, Festus, MO 63028-2602 | 2011-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| Find all providers in zip 63028 | ||||
| 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 |
|---|---|---|---|---|
| 1063611895 | Ramis Gheith | Anesthesiology | 1405 N Truman Blvd, Festus, MO 63028-1177 | 2007-07-12 |
| 1902992175 | Advanced Anesthesia LLC | Anesthesiology | 1101 West Gannon Road, Festus, MO 63028 | 2006-10-05 |
| 1396831715 | Maceren Anesthesiology Associate Inc. | Anesthesiology | 2 Howe Xing, Festus, MO 63028-4044 | 2006-10-04 |
| 1679524094 | Anthony Anderson | Anesthesiology | 1479a U.S. Highway 61, Festus, MO 63028-4123 | 2006-05-12 |
| 1851689848 | Arch Anesthesiology LLC | Anesthesiology | 1101 W Gannon Dr, Festus, MO 63028-2602 | 2011-07-12 |
| 1134353030 | Acuity Anesthesiology LLC | Anesthesiology | 1400 Us Highway 61, Festus, MO 63028-4100 | 2009-05-06 |
| 1881665651 | Scott R Smout | Anesthesiology | 1400 Us Highway 61, Dept. of Anesthesia, Festus, MO 63028-4100 | 2006-01-30 |
| 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 | ||||
Please comment or provide details below to improve the information on REVERE ANESTHESIOLOGY LLC.
| 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.