| Jeffrey Porter, | |
|
5325 Faraon St, Saint Joseph, MO 64506-3488 | |
| (816) 271-6350 | |
| (816) 271-6753 |
| Full Name | Jeffrey Porter |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 5325 Faraon St, Saint Joseph, 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 |
|---|---|---|---|
| 1477901023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2010000185 (Missouri) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2016019080 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Lukes North Hospital | Kansas city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Lukes Physician Group Inc | 3577476894 | 1094 |
| Entity Name | Saint Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
| Entity Name | Anesthesia Associates Of Kansas City Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174504732 PECOS PAC ID: 1951206168 Enrollment ID: O20031201000810 |
| Entity Name | Meritas Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801875091 PECOS PAC ID: 6305748153 Enrollment ID: O20040122001058 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Porter, 5325 Faraon St, Saint Joseph, MO 64506-3488 Ph: (816) 271-6350 | Jeffrey Porter, 5325 Faraon St, Saint Joseph, MO 64506-3488 Ph: (816) 271-6350 |
Mr. Kenneth Jude Conde, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4510 Frederick Ave, Saint Joseph, MO 64506 Phone: 816-364-9992 | |
Christopher Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4510 Frederick Ave, Saint Joseph, MO 64506 Phone: 816-364-9992 | |
Samuel L Jeffers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-1365 Fax: 816-271-6753 | |
Aloysia Lonergan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6350 Fax: 816-271-6753 | |
Sylvia Brainoo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6350 Fax: 816-271-6753 | |
Robert Neil Fisher, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6350 Fax: 816-271-6753 | |
Mrs. Susan Klosterman-finke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4301 Rainbow Ct, Saint Joseph, MO 64506 Phone: 816-262-0543 Fax: 816-279-3118 |