Provider Demographics
NPI:1467443614
Name:ANESTHESIA ASSOCIATES OF KANSAS CITY PC
Entity type:Organization
Organization Name:ANESTHESIA ASSOCIATES OF KANSAS CITY PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:GLENSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-428-2900
Mailing Address - Street 1:8717 WEST 110TH STREET
Mailing Address - Street 2:SUITE 600
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2144
Mailing Address - Country:US
Mailing Address - Phone:913-428-2900
Mailing Address - Fax:913-428-2951
Practice Address - Street 1:4911 ARROWHEAD DRIVE
Practice Address - Street 2:SUITE 300
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-7018
Practice Address - Country:US
Practice Address - Phone:816-795-6880
Practice Address - Fax:816-795-5980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-04
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO505306605Medicaid
MOK970000OtherMEDICARE