| Kevin Michael Sutulovich, CRNA | |
|
2301 Holmes St, Kansas City, MO 64108-2640 | |
| (816) 404-1100 | |
| (806) 404-1103 |
| Full Name | Kevin Michael Sutulovich |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 2301 Holmes St, Kansas City, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184848483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2003029652 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Siloam Springs Regional Hospital | Siloam springs, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capital Anesthesia Solutions Of Arkansas, Llc | 5395159313 | 73 |
| Entity Name | Sgoh Acquisition Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20081016000559 |
| Entity Name | Capital Anesthesia Solutions Of Arkansas, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174125876 PECOS PAC ID: 5395159313 Enrollment ID: O20210202001530 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Michael Sutulovich, CRNA 7304 North Conant Ave, Kansas City, MO 64152 Ph: (816) 505-0774 | Kevin Michael Sutulovich, CRNA 2301 Holmes St, Kansas City, MO 64108-2640 Ph: (816) 404-1100 |
Michael S Filla, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2316 E Meyer Blvd, Kansas City, MO 64132 Phone: 816-276-4000 | |
Kelli A Pryor, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-1100 | |
Sydney L. Overton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2316 E Meyer Blvd, Kansas City, MO 64132 Phone: 816-763-5446 Fax: 816-763-8426 | |
Jennifer Lee Hugo Francisco, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-701-5200 Fax: 816-302-9939 | |
Adrienne Jill Rader, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2316 E Meyer Blvd, Kansas City, MO 64132 Phone: 816-763-5446 Fax: 816-763-8426 | |
Ms. Kelly R Gordon, RN ARNP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1318 E. 104th St., Kansas City, MO 64131 Phone: 816-256-5180 | |
Jon R Featherston, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-1100 |