MISSOURI VALLEY ANESTHESIA, PC
NPI 1720040165
Anesthesiology in Washington, MO

NPI Status: Active since April 03, 2006

Contact Information

901 E 5TH ST
WASHINGTON, MO
ZIP 63090
Phone: (636) 239-8090
Fax: (636) 390-7385

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  • Organization
  • Anesthesiology
  • CLIA Number: 26D2119419
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-26-2026

About MISSOURI VALLEY ANESTHESIA, PC

This page provides the complete NPI Profile along with additional information for Missouri Valley Anesthesia, Pc, an anesthesiologist established in Washington, Missouri operating as a Anesthesiology. The healthcare provider is registered in the NPI registry with number 1720040165 assigned on April 2006. The practitioner's primary taxonomy code is 207L00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Robert Nevett Md (President)

NPI
1720040165
Provider Name
MISSOURI VALLEY ANESTHESIA, PC
Entity Type
Organization
Location Address
901 E 5TH ST WASHINGTON, MO 63090
Location Phone
(636) 239-8090
Location Fax
(636) 390-7385
Mailing Address
601 WASHINGTON AVE NEWPORT, KY 41071
Mailing Phone
(859) 291-4800
Mailing Fax
(636) 390-7385
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-03-2006
Last Update Date
08-22-2020
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An anesthesiologist like Missouri Valley Anesthesia, Pc manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT NEVETT MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(636) 239-8090

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D2119419
Facility Type
Physician Office
Certificate Effective Date
September 27, 2024
Certificate Expiration Date
September 26, 2026
Laboratory Director
BOBBY V. ENVETCHAKUL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Missouri Valley Anesthesia, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720040165
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740040112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 4 + 0 + 1 + 1 + 2 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1720040165 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MARILOU GRAINGER CRNA

Nurse Anesthetist, Certified Registered

901 E 5TH ST
WASHINGTON, MO
ZIP 63090

(636) 239-8000

VIRGINIA R HALL CRNA

Nurse Anesthetist, Certified Registered

901 E 5TH ST
WASHINGTON, MO
ZIP 63090

(636) 290-8090

DR. KARL J LENZENHUBER M.D.

Radiology

(Diagnostic Radiology)

901 E 5TH ST
WASHINGTON, MO
ZIP 63090

(636) 239-8250

PETER G WIENKE M.D.

Anesthesiology

901 E 5TH ST
WASHINGTON, MO
ZIP 63090

(636) 239-8090

DR. DAVID WALKER PHARMD

Pharmacist

(Pharmacotherapy)

901 E 5TH ST
WASHINGTON, MO
ZIP 63090

(636) 239-8530

DR. DANIEL PAUL HOEHNE D.O.

Emergency Medicine

901 E 5TH ST
WASHINGTON, MO
ZIP 63090

(636) 239-8000

MRS. CANDY LYNN LARSON-SOETE MSPT

Physical Therapist

901 E 5TH ST
WASHINGTON, MO
ZIP 63090

(636) 239-8858

JACQUELINE K DAUGHERTY RN

Registered Nurse

(Cardiac Rehabilitation)

901 E 5TH ST
WASHINGTON, MO
ZIP 63090

(636) 239-8858

ANN MARIE HALLQUIST P.T.

Physical Therapist

901 E 5TH ST
WASHINGTON, MO
ZIP 63090

(636) 239-8840

MRS. SANDRA FRANCES TURNER P.T.A.

Physical Therapy Assistant

901 E 5TH ST
WASHINGTON, MO
ZIP 63090

(636) 239-8858

SARAH M BECKER COTA

Occupational Therapy Assistant

901 E 5TH ST
WASHINGTON, MO
ZIP 63090

(636) 239-8000

SUSAN PETERS VINCENT P.T.

Physical Therapist

901 E 5TH ST
WASHINGTON, MO
ZIP 63090

(636) 239-8811

KATHRYN MARY KESSLER P.T.

Physical Therapist

901 E 5TH ST
WASHINGTON, MO
ZIP 63090

(636) 239-8858

MRS. SUSAN MILLER PT

Physical Therapist

901 E 5TH ST
WASHINGTON, MO
ZIP 63090

(636) 239-7214

DR. BRYAN JOSEPH MENGES D.O.

Emergency Medicine

901 E 5TH ST
WASHINGTON, MO
ZIP 63090

(636) 239-8011

LAURA L. CARDER RN, MSN, CDE

Registered Nurse

(Diabetes Educator)

901 E 5TH ST
WASHINGTON, MO
ZIP 63090

(636) 239-8356

MR. PATRICK SCOTT HOULIHAN PA-C

Physician Assistant

901 E 5TH ST
WASHINGTON, MO
ZIP 63090

(636) 239-8011

DR. SCOTT ANTHONY CROLLARD MD

Emergency Medicine

901 E 5TH ST
MERCY HOSPITAL WASHINGTON
WASHINGTON, MO
ZIP 63090

(636) 239-8011

MRS. MARILYN KAY WADE RD, LD

Dietitian, Registered

901 E 5TH ST
WASHINGTON, MO
ZIP 63090

(636) 239-8744

MICHELLE GOETZ D.O.

Internal Medicine

901 E 5TH ST
WASHINGTON, MO
ZIP 63090

(636) 239-8000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720040165, enumerated as an "organization" on April 03, 2006.

The provider is located at 901 E 5TH ST WASHINGTON, MO 63090 and the phone number is (636) 239-8090.

Anesthesiology with taxonomy code 207L00000X.