MICHELE L MACK (NPI# 1013941921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013941921 |
| Entity Type | Individual |
| Full Name | MICHELE L MACK |
| Credential | CRNA |
| Practice Address |
18100 Oakwood Blvd Suite 100 Dearborn MI 48124-4085 |
| Practice Telephone | 3132532000 |
| Mailing Telephone | 3132532000 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704172231 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4852368 | 05 | |
| MI | 4793024 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861893117 | Michele Mack | Massage Therapist | 2179 Stringtown Rd, Loft 11, Grove City, OH 43123-2989 | 2014-09-05 |
| 1609806272 | Michele C Mack | Nurse Practitioner | 16111 Plummer St, Bldg #200 Rm#3411, North Hills, CA 91343-2036 | 2006-07-03 |
| Street Address |
18100 OAKWOOD BLVD SUITE 100 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-4085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578535142 | Lawrence G Morawa | Orthopaedic Surgery | 18100 Oakwood Blvd, 300, Dearborn, MI 48124-4085 | 2006-02-07 |
| 1992110522 | Michelle T Leonard | Psychologist | 18100 Oakwood Blvd, C/o Michelle Leonard, Dearborn, MI 48124-4085 | 2014-06-23 |
| 1801215959 | Lassen Dialysis LLC | Clinic/Center | 18100 Oakwood Blvd, Ste 206, Dearborn, MI 48124-4085 | 2014-04-15 |
| 1851630206 | University Physician Group | Occupational Therapist | 18100 Oakwood Blvd, Suite 300, Dearborn, MI 48124-4085 | 2013-02-05 |
| 1992044598 | University Physician Group | Prosthetic/Orthotic Supplier | 18100 Oakwood Blvd, Suite 300, Dearborn, MI 48124-4085 | 2013-02-04 |
| 1073878682 | Tiona Kimisha Stephens | Internal Medicine | 18100 Oakwood Blvd, Site 01 Medical Education, Dearborn, MI 48124-4085 | 2012-07-10 |
| 1598052441 | Geoffrey Alan Potts | Dermatology | 18100 Oakwood Blvd, Suite 300, Dearborn, MI 48124-4085 | 2011-06-29 |
| 1346565355 | Mariana Dimovski Atanasovski | Dermatology | 18100 Oakwood Blvd, Suite 300, Dearborn, MI 48124-4089 | 2010-04-01 |
| 1821310806 | Oakwood Healthcare Inc | Clinic/Center | 18100 Oakwood Blvd, Suite 206, Dearborn, MI 48124-4085 | 2010-02-18 |
| 1114257540 | Dynamic Urocare PC | Urology | 18100 Oakwood Blvd, Ste 315, Dearborn, MI 48124-4085 | 2010-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| 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 |
|---|---|---|---|---|
| 1285040832 | Zamzam Elghoul | Nurse Anesthetist, Certified Registered | 7922 Barrie St, Dearborn, MI 48126-1062 | 2014-07-03 |
| 1144236274 | Roger W Zander | Nurse Anesthetist, Certified Registered | 22211 Morley Ave, Dearborn, MI 48124-2110 | 2006-07-31 |
| 1932639630 | Brenna Nicole Klaft | Nurse Anesthetist, Certified Registered | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2017-06-14 |
| 1992242598 | Fatin Badran | Nurse Anesthetist, Certified Registered | 15500 Lundy Pkwy, Dearborn, MI 48126-2778 | 2017-01-21 |
| 1174072300 | Andrew Rambo | Nurse Anesthetist, Certified Registered | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2016-09-29 |
| 1811312952 | Sweet Dreamzzz Anesthesia Staffing, Inc. | Nurse Anesthetist, Certified Registered | 22074 Michigan Ave, Dearborn, MI 48124-2353 | 2014-02-26 |
| 1215366372 | Michael Delaney | Nurse Anesthetist, Certified Registered | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2013-11-08 |
| 1003187493 | Megan Nicole Sanborn | Nurse Anesthetist, Certified Registered | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2012-01-18 |
| 1124398391 | Tiffany Rhodes | Nurse Anesthetist, Certified Registered | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2012-01-05 |
| 1295020600 | Premier Anesthesia Staffing, Pllc | Nurse Anesthetist, Certified Registered | 4700 Schaefer Rd, Dearborn, MI 48126-3698 | 2011-06-14 |
| Find all providers in DEARBORN | ||||
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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.