Monty R John (NPI# 1023088747, PAC ID# 6507821733) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1023088747 |
| PAC ID by PECOS | 6507821733 |
| Professional Enrollment ID | I20190314001447 |
| Full Name | Monty R John |
| Organization Legal Name | EXCEL ANESTHESIA, LLC |
| Address |
5202 Faraon St St Joseph MO 64056 |
| Phone Number | 8162332020 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1983 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1850397787 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 261327 | RAY COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3800 S Whitney Ave, 100 Endoscopy Center, Independence, MO 64055-6739 | 8164784887 | DIGESTIVE HEALTH SPECIALISTS LLC |
| 904 Wollard Blvd, Ray County Mem Hosp, Richmond, MO 64085-2243 | 8164705432 | EXCEL ANESTHESIA, LLC |
| 5202 Faraon St, St Joseph, MO 64056 | 8162332020 | EXCEL ANESTHESIA, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_426_overall | Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 100% |
| Organization Legal Name | EXCEL ANESTHESIA, LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett L Cikanek | Certified Registered Nurse Anesthetist (crna) | Excel Anesthesia, LLC | 11120 Tomahawk Creek Pkwy, Leawood, KS 66211-2695 |
| Victor J Quintero | Certified Registered Nurse Anesthetist (crna) | Excel Anesthesia, LLC | 619 Sw Corporate View Dr, Washburn Surgery Center, Topeka, KS 66615-1233 |
| Kenneth Jude Conde | Certified Registered Nurse Anesthetist (crna) | Excel Anesthesia, LLC | 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 |
| Vanessa R Jackson | Certified Registered Nurse Anesthetist (crna) | Excel Anesthesia, LLC | 5202 Faraon St, St Joseph, MO 64056 |
| Larry J Troshynski | Certified Registered Nurse Anesthetist (crna) | Excel Anesthesia, LLC | 619 Sw Corporate View Dr, Washburn Surgery Center, Topeka, KS 66615-1233 |
| Kyna L Popplewell | Certified Registered Nurse Anesthetist | Excel Anesthesia, LLC | 11120 Tomahawk Creek Pkwy, Leawood, KS 66211-2695 |
| Jean M Covillo | Certified Registered Nurse Anesthetist | Excel Anesthesia, LLC | 5202 Faraon St, St Joseph, MO 64056 |
| Street Address |
5202 FARAON ST |
| City | ST JOSEPH |
| State | MO |
| Zip | 64056 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanessa R Jackson | Certified Registered Nurse Anesthetist (crna) | Excel Anesthesia, LLC | 5202 Faraon St, St Joseph, MO 64056 |
| Patricia J Waddell | Nurse Practitioner | Heartland Regional Medical Center | 5202 Faraon St, Suite A, Saint Joseph, MO 64506-3840 |
| Rose Anne G Ong Yiu | Pediatric Medicine | Heartland Regional Medical Center | 5202 Faraon St, Suite A, Saint Joseph, MO 64506-3840 |
| Karen M Fischer | Nurse Practitioner | Heartland Regional Medical Center | 5202 Faraon St, Suite A, Saint Joseph, MO 64506-3840 |
| Della V Taylor | Nurse Practitioner | Heartland Regional Medical Center | 5202 Faraon St, Suite A, Saint Joseph, MO 64506-3840 |
| Mandi D Griffin | Nurse Practitioner | Heartland Regional Medical Center | 5202 Faraon St, Suite A, Saint Joseph, MO 64506-3840 |
| Ashley G Mears | Chiropractic | Heartland Regional Medical Center | 5202 Faraon St, Suite A, Saint Joseph, MO 64506-3840 |
| Bonnie K Goins | Radiation Oncology | Heartland Regional Medical Center | 5202 Faraon St, Suite A, Saint Joseph, MO 64506-3840 |
| Linda A Siemer | Nurse Practitioner | Heartland Regional Medical Center | 5202 Faraon St, Suite A, Saint Joseph, MO 64506-3840 |
| Matthew Earl Honson | Optometry | Murphy Watson Burr Eye Center, Inc. | 5202 Faraon St, Saint Joseph, MO 64506-3840 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean M Covillo | Certified Registered Nurse Anesthetist | Excel Anesthesia, LLC | 5202 Faraon St, St Joseph, MO 64056 |
| Jenny V Wilson | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 17301 E Us Hwy 24, Independence, MO 64056-1807 |
| Maria N Jeng | Nurse Practitioner | Minuteclinic Diagnostic of Kansas Pa | 17301 E Us Hwy 24, Independence, MO 64056-1807 |
| City | ST JOSEPH |
| Zip Code | 64056 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | ST JOSEPH + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.