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

Southeast Missouri Anesthesia Partners LLC

Organization Certified Registered Nurse Anesthetist · NPI 1699080143

Southeast Missouri Anesthesia Partners LLC provides Certified Registered Nurse Anesthetist services in Poplar Bluff, Missouri. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396 Not confirmed with CMS for 16 years — call before visiting
Phone: (573) 686-5550
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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 number1699080143
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Goshen — Sole Mbr · (573) 686-5550
NPI enumeratedAugust 9, 2010
Last updated in NPPESAugust 9, 2010
Mailing address209 S Main St, Poplar Bluff, MO 63901-5831

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