Tia Anderson, CRNA | |
8717 W 110th St, Suite 600, Overland Park, KS 66210-2144 | |
(913) 428-2900 | |
Not Available |
Full Name | Tia Anderson |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 8717 W 110th St, Overland Park, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1700310406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 43557509011 (Kansas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 2010025473 (Missouri) | Primary |
Entity Name | Saint Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
Entity Name | Orthomed Staffing Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20220505000502 |
Mailing Address | Practice Location Address |
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Tia Anderson, CRNA 2401 Gillham Rd, Provider Enrollment, Kansas City, MO 64108-4619 Ph: (816) 701-5200 | Tia Anderson, CRNA 8717 W 110th St, Suite 600, Overland Park, KS 66210-2144 Ph: (913) 428-2900 |
Gay Ann Colliton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12300 Metcalf Ave, Anesthesia Dept, Overland Park, KS 66213 Phone: 816-389-6030 Fax: 816-389-6034 | |
Sonya Jurgens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5721 W 119th St, Overland Park, KS 66209 Phone: 913-428-2900 Fax: 913-428-2951 | |
Carol Lynn Russell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5520 College Blvd, Suite 200, Overland Park, KS 66211 Phone: 913-491-3040 | |
Reed Tenney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5721 W 119th St, Overland Park, KS 66209 Phone: 913-428-2900 | |
Mrs. Valerie Lynn Wilen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10500 Quivira Rd, Overland Park, KS 66215 Phone: 816-763-5446 | |
Alexis Zecy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10203 Bond St, Overland Park, KS 66214 Phone: 913-522-1114 | |
Ann Squire, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12300 Metcalf Ave, Anesthesia Dept, Overland Park, KS 66213 Phone: 816-389-6030 Fax: 816-389-6034 |