Provider Demographics
NPI:1073553061
Name:PEYTON, JAMES F (CRNA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:PEYTON
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11184 ANTIOCH RD
Mailing Address - Street 2:#327
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2420
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11184 ANTIOCH RD
Practice Address - Street 2:#327
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2420
Practice Address - Country:US
Practice Address - Phone:816-820-1384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH322822367500000X
ME51834367500000X
WAAP30007130367500000X
PARN566386367500000X
MO146118367500000X
TX710450367500000X
KS54719367500000X
MA274393367500000X
IL367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered