| Leon F Gooden, CRNA | |
|
201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | |
| (816) 228-5900 | |
| Not Available |
| Full Name | Leon F Gooden |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 43 Years |
| Location | 201 Nw R D Mize Rd, Blue Springs, 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 |
|---|---|---|---|
| 1295821676 | NPI | - | NPPES |
| 100383520A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 54400 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 101430 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Joplin | Joplin, MO | Hospital |
| Providence Medical Center | Kansas city, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Missouri Llc | 4082908249 | 66 |
| Northstar Anesthesia Of Kansas Llc | 6901038819 | 21 |
| Entity Name | Northstar Anesthesia Of Missouri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396191789 PECOS PAC ID: 4082908249 Enrollment ID: O20160810001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Leon F Gooden, CRNA 940 West Port Plaza, Ste 270, St Louis, MO 63146 Ph: (314) 453-0600 | Leon F Gooden, CRNA 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 Ph: (816) 228-5900 |
Timothy D Fundenberger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1209 Nw North Ridge Dr Ste B, Anesthesia Services Of Blue Springs, Blue Springs, MO 64015 Phone: 816-988-8415 Fax: 816-988-8395 | |
Mr. Jeremy Michael Daves, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 Nw R D Mize Rd, Anesthesia Services Of Blue Springs/st. Mary's Medical, Blue Springs, MO 64014 Phone: 816-988-8415 Fax: 816-335-4003 | |
Mrs. Brenda Rae Rutherford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 209 Nw North Ridge Drive, Suite B, Anesthesia Services Of Blue Springs, Blue Springs, MO 64015 Phone: 816-988-8415 Fax: 816-988-8395 | |
Dina Lynn Lutjen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1209 Nw North Ridge Dr, Suite B, Blue Springs, MO 64015 Phone: 816-988-8415 Fax: 816-988-8395 | |
Denise A Wilson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1209 Nw North Ridge Dr Ste B, Anesthesia Services Of Blue Springs, Blue Springs, MO 64015 Phone: 816-988-8415 Fax: 816-988-8395 | |
Jayme H. Thorpe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 Nw R D Mize Rd, Blue Springs, MO 64014 Phone: 816-228-5900 |