ASC SERVICES OF MICHIGAN LLC (NPI# 1013348002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013348002 |
| Entity Type | Organization |
| Organization Name | ASC SERVICES OF MICHIGAN LLC |
| Practice Address |
33400 6 Mile Rd Ste A Livonia MI 48152-3143 |
| Mailing Address |
255 W Michigan Ave P O Box 1123 Jackson MI 49201-2218 |
| Practice Telephone | 7344527111 |
| Mailing Telephone | 8005165315 |
| Mailing Fax Number | 5177877365 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2014-01-15 |
| Authorized Official Name | JENNIFER BEDNARCHIK (COO) |
| Authorized Official Telephone | 7344527111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
33400 6 MILE RD STE A |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083269245 | Avis J Dorsey | Nurse Anesthetist, Certified Registered | 12031 Cardwell St, Livonia, MI 48150-2355 | 2019-08-05 |
| 1891243135 | Kelly Ann Davis | Nurse Anesthetist, Certified Registered | 19446 Parker St, Livonia, MI 48152-1579 | 2016-09-15 |
| 1720068166 | John Mattarella | Nurse Anesthetist, Certified Registered | 35220 Curtis Rd, Livonia, MI 48152-2900 | 2006-01-20 |
| 1356988547 | Matthew Royal Wilson | Nurse Anesthetist, Certified Registered | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2019-12-06 |
| 1811460686 | Autumn Alethia Liberty-corbin | Nurse Anesthetist, Certified Registered | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2019-01-04 |
| 1659888980 | Melanie Fragoso | Nurse Anesthetist, Certified Registered | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2018-01-09 |
| 1235595463 | Andrea Kline Ozimek | Nurse Anesthetist, Certified Registered | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2016-01-04 |
| 1225450653 | Sarah Krater | Nurse Anesthetist, Certified Registered | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2014-01-21 |
| 1700124302 | Michelle Renee St. John | Nurse Anesthetist, Certified Registered | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2013-01-17 |
| 1578835393 | Jeffrey Lee Taasan | Nurse Anesthetist, Certified Registered | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2012-02-09 |
| Find all providers in LIVONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.