Bryan Andrew Woodworth, CRNA | |
19600 East 39th Street, Centerpoint Medical Center, Independence, MO 64057-2301 | |
(816) 698-7000 | |
(816) 698-8165 |
Full Name | Bryan Andrew Woodworth |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 19600 East 39th Street, Independence, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578522082 | NPI | - | NPPES |
915365423 | Medicaid | MO | |
P00297139 | Other | MO | MEDICARE PIN RR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 149870 (Missouri) | Primary |
Entity Name | Northstar Anesthesia Of Missouri Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396191789 PECOS PAC ID: 4082908249 Enrollment ID: O20160810001928 |
Mailing Address | Practice Location Address |
---|---|
Bryan Andrew Woodworth, CRNA 250 Ne Mulberry, C/o Sjs Medical Management Suite 202, Lees Summit, MO 64086-4833 Ph: (816) 389-4130 | Bryan Andrew Woodworth, CRNA 19600 East 39th Street, Centerpoint Medical Center, Independence, MO 64057-2301 Ph: (816) 698-7000 |
Alan Peter Jensen, RN, BSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 19600 E 39th St S, Independence, MO 64057 Phone: 816-698-7000 | |
Mr. Rick Daniel Downey, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 19600 E 39th St S, Independence, MO 64057 Phone: 816-698-8433 | |
Christian Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 19600 E 39th St S, Independence, MO 64057 Phone: 913-428-2900 Fax: 913-428-2951 | |
William T Cooper, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1515 W Truman Rd, Suite 108, Independence, MO 64050 Phone: 816-461-3131 Fax: 816-461-1662 | |
Mrs. Angelique Irene Carroll, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 19600 E 39th St S, Independence, MO 64057 Phone: 913-428-2900 Fax: 913-428-2951 | |
Linda L Ray, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1515 W Truman Rd, Suite 108, Independence, MO 64050 Phone: 816-461-3131 Fax: 816-461-1662 | |
Holly Christina Stubbs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4741 S Cochise Dr, Independence, MO 64055 Phone: 816-478-1230 |