Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leavenworth Anesthesia PA

Organization Certified Registered Nurse Anesthetist · NPI 1679555262

Leavenworth Anesthesia PA provides Certified Registered Nurse Anesthetist services in Leavenworth, Kansas. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

605 Shawnee St
Leavenworth, KS 66048-1958 Not confirmed with CMS for 18 years — call before visiting
Phone: (913) 680-0812
Fax: (913) 680-1445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1679555262
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jean Covillo — President · (913) 680-0812
Other names Mid-America Anesthesia Care
NPI enumeratedNovember 18, 2005
Last updated in NPPESApril 20, 2008
Mailing address605 Shawnee St, Leavenworth, KS 66048-1958

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