Provider Demographics
NPI:1114018983
Name:ANESTHESIA IOWA PLC
Entity Type:Organization
Organization Name:ANESTHESIA IOWA PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF CRNA
Authorized Official - Prefix:
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HUNSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:913-642-4900
Mailing Address - Street 1:PO BOX 843032
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64184-0001
Mailing Address - Country:US
Mailing Address - Phone:913-642-4900
Mailing Address - Fax:913-381-0979
Practice Address - Street 1:404 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:PELLA
Practice Address - State:IA
Practice Address - Zip Code:50219-1257
Practice Address - Country:US
Practice Address - Phone:913-342-4900
Practice Address - Fax:913-381-0979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0206508Medicaid
IA17538Medicare PIN
IACH0929Medicare PIN