Provider Demographics
NPI:1265525133
Name:ANESTHESIA SERVICES OF BLUE SPRINGS
Entity type:Organization
Organization Name:ANESTHESIA SERVICES OF BLUE SPRINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:MCFEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-988-8415
Mailing Address - Street 1:1209 NW NORTH RIDGE DR STE B
Mailing Address - Street 2:ANESTHESIA SERVICES OF BLUE SPRINGS
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-6320
Mailing Address - Country:US
Mailing Address - Phone:816-988-8415
Mailing Address - Fax:816-988-8395
Practice Address - Street 1:4150 N MULBERRY DR STE 100
Practice Address - Street 2:ANESTHESIA SERVICES BLUE SPRINGS/BRIARCLIFF SURGERY CTR
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-1779
Practice Address - Country:US
Practice Address - Phone:816-988-8415
Practice Address - Fax:816-988-8395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO504032004Medicaid
MODE2808Medicare UPIN
MO504032004Medicaid