MARK V STROMBERG (NPI# 1114023397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114023397 |
| Entity Type | Individual |
| Full Name | MARK V STROMBERG |
| Credential | CRNA |
| Practice Address |
10000 Telegraph Rd Taylor MI 48180-3330 |
| Practice Telephone | 3132955103 |
| Practice Fax Number | 3132955363 |
| Mailing Telephone | 3132955103 |
| Mailing Fax Number | 3132955363 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704121139 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4310979 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164423190 | Mark Remson Stromberg | Internal Medicine | 6701 N Charles St, Ste 4106, Baltimore, MD 21204 | 2005-08-01 |
| Street Address |
10000 TELEGRAPH RD |
| City | TAYLOR |
| State | MI |
| Zip Code | 48180-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245218791 | Daniel Gadzinski | Emergency Medicine | 10000 Telegraph Rd, Emergency Medicine Department, Taylor, MI 48180-3330 | 2006-01-05 |
| 1770184301 | Leonard Lee Stephenson | Registered Nurse | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-11-02 |
| 1871193482 | Sarah E Grim | Physical Therapist | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-11-01 |
| 1376169524 | Nsa Pain Services of Michigan IIi, Pllc | Anesthesiology | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-06-23 |
| 1497379143 | Ryan J Haley | Physical Medicine & Rehabilitation | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-05-28 |
| 1487276291 | Shaima Khandaker | Physical Medicine & Rehabilitation | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-05-14 |
| 1902428113 | Darryl Jack Chow | Physical Medicine & Rehabilitation | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-05-11 |
| 1114548658 | Rachel Reeves | Physical Medicine & Rehabilitation | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-05-06 |
| 1902427578 | Alexandra Fry | Physical Medicine & Rehabilitation | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-05-05 |
| 1104456003 | Cynthia Kalich Norscia | Nurse Practitioner | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2020-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920288 | Kenneth Harlan | Physical Therapist | 22606 Northline Rd., Taylor, MI 48180 | 2019-03-12 |
| 1790270916 | Ryan Thomas Sankovic | Physical Medicine & Rehabilitation | 10000 Telegraph Road, Taylor, MI 48180 | 2018-06-29 |
| 1538658026 | Deborah Moseley | Physical Therapist | 21308 Eureka Rd, Taylor, MI 48180 | 2018-05-09 |
| 1366944837 | Cheryl Lee Ivie | Nurse Practitioner | 26650 Eureka Rd Suite C, Taylor, MI 48180 | 2018-03-01 |
| 1619407376 | Markesha Lynn Smith | Case Manager/Care Coordinator | 26550 Eureka Road, Suite C, Taylor, MI 48180 | 2017-06-15 |
| 1376072645 | Chris James Clark | Massage Therapist | 11178 Katrine, Taylor, MI 48180 | 2017-06-08 |
| 1245767151 | Alexandre John Mazar | Student in an Organized Health Care Education/Training Program | 10000 Telegraph Road - Beaumont Taylor Hospital, Physical Medicine and Rehabilitation Department, Taylor, MI 48180 | 2017-05-23 |
| 1063949030 | Jared David Mccallum | Physical Medicine & Rehabilitation | Beaumont Hospital, Taylor - Attn: Chris L Birkenhauer, 10000 Telegraph Ro, Taylor, MI 48180 | 2017-05-22 |
| 1972039667 | Chante Lowman | Specialist/Technologist | 23774 Crisler St., Taylor, MI 48180 | 2017-05-02 |
| 1477003036 | Latricia Osborne | Licensed Practical Nurse | 94060e. Pickwick Circle, Taylor, MI 48180 | 2016-10-07 |
| Find all providers in zip 48180 | ||||
| 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 |
|---|---|---|---|---|
| 1629193008 | Bruce M Johns | Nurse Anesthetist, Certified Registered | 3645 Fm 3349, Taylor, TX 76574-5297 | 2007-03-21 |
| 1801943659 | Josef Cohen | Nurse Anesthetist, Certified Registered | 305 Mallard Ln, Taylor, TX 76574-1208 | 2007-01-04 |
| 1043316268 | Clifford L Partin | Nurse Anesthetist, Certified Registered | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2006-09-15 |
| 1619073822 | Teri S Kuffner | Nurse Anesthetist, Certified Registered | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2006-09-15 |
| 1245336494 | Michael D Scalisi | Nurse Anesthetist, Certified Registered | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2006-09-15 |
| 1548366701 | Glenn W Schafer | Nurse Anesthetist, Certified Registered | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2006-09-15 |
| 1801992078 | Julianna M Schopper | Nurse Anesthetist, Certified Registered | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2006-09-15 |
| 1912003195 | Margaret S Smith | Nurse Anesthetist, Certified Registered | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2006-09-15 |
| 1457374944 | Donald J Hendryx | Nurse Anesthetist, Certified Registered | 305 Mallard Ln, Taylor, TX 76574-1208 | 2006-07-25 |
| 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.