ST JOSEPH MERCY CHELSEA INC (NPI# 1023642055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023642055 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH MERCY CHELSEA INC |
| Practice Address |
775 S Main St Chelsea MI 48118-1383 |
| Mailing Address |
20555 Victor Pkwy Livonia MI 48152-7031 |
| Practice Telephone | 7345935898 |
| Practice Fax Number | 7345935895 |
| Mailing Telephone | 7343430396 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | MICHAEL GUSHO (CFO) |
| Authorized Official Telephone | 7343430396 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992761985 | St Joseph Mercy Chelsea Inc | General Acute Care Hospital | 775 S Main St, Chelsea, MI 48118-1370 | 2006-04-26 |
| 1245244276 | St Joseph Mercy Chelsea Inc | Rehabilitation Hospital | 775 S Main St, Chelsea, MI 48118-1383 | 2006-07-27 |
| 1700815347 | St Joseph Mercy Chelsea Inc | Psychiatric Unit | 775 S Main St, Chelsea, MI 48118-1383 | 2006-07-03 |
| Street Address |
775 S MAIN ST |
| City | CHELSEA |
| State | MI |
| Zip Code | 48118-1383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992761985 | St Joseph Mercy Chelsea Inc | General Acute Care Hospital | 775 S Main St, Chelsea, MI 48118-1370 | 2006-04-26 |
| 1457972267 | Andrea Douglas | Nurse Practitioner | 775 S Main St, Chelsea, MI 48118-1383 | 2020-05-04 |
| 1033778733 | Chelsea Community Hospital | Clinic/Center | 775 S Main St, Chelsea, MI 48118-1383 | 2019-06-07 |
| 1629549662 | Thomas James Lafleur | Specialist/Technologist | 775 S Main St, Chelsea, MI 48118-1383 | 2018-12-17 |
| 1376014456 | Valerie Jean-glysson Towery | Specialist/Technologist | 775 S Main St, Chelsea, MI 48118-1383 | 2018-12-16 |
| 1922574672 | Kathleen Anderson Baines | Speech-Language Pathologist | 775 S Main St, Chelsea, MI 48118-1383 | 2018-10-21 |
| 1851867949 | Latasha Allen | Occupational Therapist | 775 S Main St, Chelsea, MI 48118-1383 | 2018-10-16 |
| 1336615475 | Margaret Mcinroy Boshoven | Speech-Language Pathologist | 775 S Main St, Chelsea, MI 48118 | 2018-10-16 |
| 1639644966 | Renee Lounsberry | Speech-Language Pathologist | 775 S Main St, Chelsea, MI 48118-1383 | 2018-10-13 |
| 1215402680 | Susan Marie Aagenas | Physical Therapist | 775 S Main St, Chelsea, MI 48118-1383 | 2018-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689139354 | Timothy Edward Johnson | Behavioral Analyst | 1075 N Main Street, Chelsea, MI 48118 | 2019-02-06 |
| 1548731847 | Daniel Mcnerney | Behavior Technician | 107.5 N Main St, Chelsea Mi 48118, MI 48118 | 2018-12-12 |
| 1285177881 | Marla J Field | Counselor | 350 North Main Street, Thriving Minds Family Service, Chelsea, MI 48118 | 2016-11-30 |
| 1093115032 | Elizabeth Spotts | Social Worker | 350 N Main St Ste 220, Chelsea, MI 48118 | 2014-08-27 |
| 1336553239 | Kylene Willsey | Pediatrics | 13699 E Old Us Highway 12, Chelsea, MI 48118 | 2014-06-18 |
| 1730590985 | Vandan Shah | Dermatology | 14650 E. Old Us 12, Suite 308, Chelsea, MI 48118 | 2014-05-09 |
| 1447695952 | James Herbert Botsford | Family Medicine | 201 E. Cedar Lake Dr., Chelsea, MI 48118 | 2013-05-10 |
| 1972864403 | Caroline Nicole Wolfe Wurtzel | Orthopaedic Surgery | 14650 E Old Us Highway 12 Ste 104, Chelsea, MI 48118 | 2012-05-31 |
| 1396019766 | Markus Koch | Mechanotherapist | 21390 Waterloo Rd, Chlesea, MI 48118 | 2012-03-02 |
| 1023305810 | Denise Renae Rokke | Occupational Therapist | 801 W Middle St, Chelsea, MI 48118 | 2011-06-30 |
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| 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 |
|---|---|---|---|---|
| 1891710323 | Greg S Page | Nurse Anesthetist, Certified Registered | 1004 Dunsmore Dr, Chelsea, AL 35043-7234 | 2006-07-13 |
| 1073682050 | Kristine Anne Kribs | Nurse Anesthetist, Certified Registered | 775 S Main St, Chelsea Community Hospital Anesthesia, Chelsea, MI 48118-1383 | 2006-11-06 |
| 1568542967 | Chelsea Community Hospital | Nurse Anesthetist, Certified Registered | 775 S Main St, Chelsea, MI 48118-1383 | 2006-10-17 |
| 1639116106 | Anne Apaza | Nurse Anesthetist, Certified Registered | 775 S Main St, Chelsea, MI 48118-1370 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1245850957 | Black River Anesthesia Staffing LLC | Nurse Anesthetist, Certified Registered | 7245 Baseline Rd, South Haven, MI 49090-9176 | 2020-04-22 |
| 1669008017 | Kalin Elizabeth Wade | Nurse Anesthetist, Certified Registered | 4485 Kenneth Dr Apt C207, Okemos, MI 48864-1900 | 2020-03-18 |
| 1215568340 | Complete Ketamine Inc | Nurse Anesthetist, Certified Registered | 98 Winchester St, Monroe, MI 48161-1957 | 2020-01-28 |
| 1730729740 | Pride Mudzwova | Nurse Anesthetist, Certified Registered | 57693 Dakota Dr, New Hudson, MI 48165-9336 | 2020-01-08 |
| 1982249041 | Leif Elias | Nurse Anesthetist, Certified Registered | 3443 Oak Dr, Ann Arbor, MI 48105-9798 | 2019-11-13 |
| 1619512779 | Yvonne Marie Bridgeford | Nurse Anesthetist, Certified Registered | 2113 Mason Rd, Howell, MI 48843-8903 | 2019-11-13 |
| 1184269243 | Jaclyn Rochefort | Nurse Anesthetist, Certified Registered | 5381 Frovan Pl, Saginaw, MI 48638-5573 | 2019-11-13 |
| 1932744091 | Sean S Vanderwaal | Nurse Anesthetist, Certified Registered | 1420 Perry Rd Apt 1-8, Grand Blanc, MI 48439-1727 | 2019-11-13 |
| 1467093153 | Apollo Medical Group of Traverse City Pllc | Nurse Anesthetist, Certified Registered | 3663 N Country Dr, Traverse City, MI 49684-4587 | 2019-10-03 |
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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.