PAYAL BOSS (NPI# 1245675024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245675024 |
| Entity Type | Individual |
| Full Name | PAYAL BOSS |
| Credential | MD |
| Practice Address |
3333 Evergreen Dr Ne Grand Rapids MI 49525-9493 |
| Mailing Address |
3259 Turnberry Ln Ann Arbor MI 48108-2083 |
| Practice Telephone | 6163644200 |
| Mailing Telephone | 7344176062 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
4301500398 | MI | Allopathic & Osteopathic Physicians |
| N | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
35.134351 | OH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 E Medical Center Dr, Ann Arbor, MI 481095000 | 7349364280 | 7349369091 |
| Street Address |
3333 EVERGREEN DR NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-9493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558354993 | Gregory James Bellig | Anesthesiology | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2005-08-30 |
| 1205454998 | Andrea Mantel | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2020-07-08 |
| 1275170920 | Bianca Christina Feenstra | Registered Nurse | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2019-12-02 |
| 1497217335 | Nicholas Simpson | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2019-04-01 |
| 1902370745 | Rebecca Stienstra | Nurse Anesthetist, Certified Registered | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2019-01-15 |
| 1841796752 | Mason Fisher | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2018-04-02 |
| 1134645963 | Meghan Fowler | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2017-08-14 |
| 1720516065 | Joshua Joseph Saladino | Nurse Anesthetist, Certified Registered | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2017-05-31 |
| 1881127694 | Deanna Kathleen Speyers | Nurse Anesthetist, Certified Registered | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2017-04-07 |
| 1568994812 | Emily Cobb | Nurse Anesthetist, Certified Registered | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2017-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043410400 | Ajay Anand Khilanani | Anesthesiology | 100 Michigan St. Ne, Grand Rapids, MI 49503 | 2007-07-23 |
| 1386188761 | Brian Trethowan | Anesthesiology | 100 Michigan St Ne, Suite 8861, Grand Rapids, MI 49503-2560 | 2016-12-05 |
| 1881987006 | Penny Wilton | Anesthesiology | 100 Michigan St Ne, Suite 8861, Grand Rapids, MI 49503-2560 | 2011-05-20 |
| 1417247099 | Rajat Praveenchandra Pareek | Anesthesiology | 100 Michigan St Ne, Mc 117, Grand Rapids, MI 49503 | 2011-04-15 |
| 1245487438 | Elora Hussain | Anesthesiology | 100 Michigan St. Ne, Grand Rapids, MI 49503 | 2008-08-19 |
| 1427221787 | Anthony David Olivero | Anesthesiology | 100 Michigan St. Ne, Mc 117, Grand Rapids, MI 49503 | 2008-04-08 |
| 1720294267 | Benjamin Ross Braun | Anesthesiology | 100 Michigan St Ne, Mc 117, Grand Rapids, MI 49503-2560 | 2007-05-14 |
| 1164637906 | Brent G Whittaker | Anesthesiology | 100 Michigan St Ne, Mc 117, Grand Rapids, MI 49503-2560 | 2007-05-14 |
| 1902863871 | Brian Mitchell Boville | Anesthesiology | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2006-04-26 |
| 1619949765 | Robert K Fitzgerald | Anesthesiology | 100 Michigan St Ne, Mc 117, Grand Rapids, MI 49503-2560 | 2006-02-03 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on PAYAL BOSS.
| 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.