Provider Demographics
NPI:1649283177
Name:ST LUKES EAST ANESTHESIA SERVICES,P.C.
Entity type:Organization
Organization Name:ST LUKES EAST ANESTHESIA SERVICES,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:WARING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-347-5800
Mailing Address - Street 1:10310 STATE LINE RD STE A
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66206-2695
Mailing Address - Country:US
Mailing Address - Phone:913-647-4101
Mailing Address - Fax:913-647-4121
Practice Address - Street 1:100 NE SAINT LUKES BLVD
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-6000
Practice Address - Country:US
Practice Address - Phone:816-347-5800
Practice Address - Fax:816-347-5899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO35587019OtherBCBS OF KANSAS CITY
MODE4804Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MOS690000Medicare ID - Type Unspecified