Individual provider · Type 1 NPI

Jacob Stanley, MSA AA

Anesthesiologist Assistant · Kansas City, MO

NPI number 1205601630 Active

Practice location

4401 Wornall Rd
Kansas City, MO 64111-3220

Call (816) 932-3679 Map

Fax (816) 932-9089

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant Primary 367H00000X2024001731 (MO)

Anesthesiologist Assistant: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist …

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About NPI 1205601630

Jacob Stanley, MSA AA's National Provider Identifier is 1205601630, issued on Nov 15, 2023. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in Kansas City, MO. The record was last updated on Jun 25, 2026.