Provider Demographics
NPI:1144281346
Name:VANMETER, ROBERT M II (CRNA)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:M
Last Name:VANMETER
Suffix:II
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2897
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67201-2897
Mailing Address - Country:US
Mailing Address - Phone:316-263-1574
Mailing Address - Fax:316-264-1905
Practice Address - Street 1:929 N SAINT FRANCIS ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3821
Practice Address - Country:US
Practice Address - Phone:316-263-1574
Practice Address - Fax:316-264-1905
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS55390367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00165776OtherRR MEDICARE GROUP CQ2302
145080OtherBCBS KS
145080OtherBCBS KS
KS145080Medicare PIN