MS. KATHLEEN A OSTHOFF, CRNA - NPI NUMBER 1841282613

Summary

Provider Name: MS. KATHLEEN A OSTHOFF, CRNA

NPI Number: 1841282613

Clasification: Nurse Anesthetist, Certified Registered (367500000X)

Organization: WESTERN ANESTHESIOLOGY ASSOCIATES, INC.

Address:
615 S NEW BALLAS RD
SJMMC DEPT OF ANES
SAINT LOUIS, MO
ZIP 63141

Phone Number: (636) 386-9224



Detailed Information

MS. Kathleen A Osthoff, CRNA is a nurse anesthetist, certified registered in Saint Louis, MO with 14 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. The assigned NPI number for this provider is 1841282613 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

615 S NEW BALLAS RD
SJMMC DEPT OF ANES
SAINT LOUIS, MO
ZIP 63141-221
Phone: (636) 386-9224
Fax: (636) 386-7679

The enumeration date for this NPI number is 8/18/2005 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 367500000X Nurse Anesthetist, Certified Registered 112413 MO Yes

NPI Record

No. Field Name Field Value
1 NPI 1841282613
2 Entity Type Code 1
3 Provider Last Name Legal Name OSTHOFF
4 Provider First Name KATHLEEN
5 Provider Middle Name A
6 Provider Name Prefix Text MS.
7 Provider Credential Text CRNA
8 Provider First Line Business Practice Location Address 615 S NEW BALLAS RD
9 Provider Second Line Business Practice Location Address SJMMC DEPT OF ANES
10 Provider Business Practice Location Address City Name SAINT LOUIS
11 Provider Business Practice Location Address State Name MO
12 Provider Business Practice Location Address Postal Code 631418221
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 6363869224
15 Provider Business Practice Location Address Fax Number 6363867679
16 Provider Enumeration Date 8/18/2005
17 Last Update Date 7/8/2007
18 Provider Gender Code F
19 Healthcare Provider Taxonomy Code 1 367500000X
20 Provider License Number 1 112413
21 Provider License Number State Code 1 MO
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Is Sole Proprietor X

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This page was last updated on: 10/12/2014
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