# SUMMIT ANESTHESIA SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447841770
- **Authorized official:** JACOB B. MILLER MD (PRESIDENT)
- **Authorized official phone:** (913) 647-4100

## Contact information

- **Practice address:** 6815 FRONTAGE RD STE B, MERRIAM, KS 66204-1555
- **Practice address phone:** (913) 318-3800
- **Practice address fax:** (913) 624-9971
- **Mailing address:** 2404 SW OLD PORT RD, LEES SUMMIT, MO 64082-7808
- **Mailing address phone:** (913) 647-4100
- **Mailing address fax:** (913) 647-4120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2021
- **Last updated:** 01/29/2021