Organization
MOBILE ANESTHESIA CARE, LLC
Active
Other names
Mobile Anesthesia Care, Mobile Anesthesia Care
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN GRINDSTAFF MD (PRESIDENT)
(913) 428-2900
Entity
Organization
Contact information
Practice address
8717 W 110TH ST, SUITE 600, OVERLAND PARK, KS 66210-2144
(913) 428-2900
(913) 428-2951
Mailing address
8717 W 110TH ST, SUITE 600, OVERLAND PARK, KS 66210-2144
(913) 428-2900
(913) 428-2951
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00053011
BLUECROSS/BLUESHIELD
MO
05
—
100000590A
—
KS
05
—
100000590B
—
KS
05
—
500513601
—
MO
Enumeration date
03/20/2014
Last updated
03/24/2021
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