CARL GREEN (NPI# 1316218639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316218639 |
| Entity Type | Individual |
| Full Name | CARL GREEN |
| Credential | CRNA |
| Practice Address |
N10561 Grandview Ln Ironwood MI 49938-9622 |
| Mailing Address |
1391 West Blvd Berkley MI 48072-2082 |
| Practice Telephone | 9069322525 |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704199821 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750808309 | Carl Green | Case Manager/Care Coordinator | 4761 State Route 29, Celina, OH 45822-8216 | 2017-08-24 |
| 1992896435 | Carl A Green Jr. | Internal Medicine | 3400 Lebanon Pike, Murfreesboro, TN 37129 | 2006-09-28 |
| 1619935335 | Carl Lee Green | Physician Assistant | 750 W D Ave, Kingman, KS 67068-1266 | 2006-05-02 |
| Street Address |
N10561 GRANDVIEW LN |
| City | IRONWOOD |
| State | MI |
| Zip Code | 49938-9622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619923455 | Khalil M Nasrallah | Psychiatry & Neurology | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2006-05-25 |
| 1588139190 | Nicole Pietsch | Physician Assistant | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2018-10-10 |
| 1427543750 | Brittany Sue Schneller | Nurse Practitioner | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2018-06-28 |
| 1699122861 | Aspirus Ironwood Hospital & Clinics, Inc. | Emergency Response System Companies | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2016-05-18 |
| 1942663877 | Nicole Jeanine Sederholm | Nurse Practitioner | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2016-03-29 |
| 1316341571 | Kelsey Ladwig | Nurse Anesthetist, Certified Registered | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2014-10-17 |
| 1639582091 | Aspirus Wausau Hospital, Inc. | Internal Medicine | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2014-06-03 |
| 1588925101 | Heather Kirsten Nyman | Nurse Practitioner | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2012-05-30 |
| 1316220981 | Michelle N Ansley | Nurse Practitioner | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2011-09-21 |
| 1437437894 | Carla Marie Loeffler | Physical Therapist | N10561 Grandview Ln, Physical Therapy/rehab Department, Ironwood, MI 49938-9622 | 2011-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891319661 | Jonathon Rulseh | Physical Therapy Assistant | 10561 Grandview Ln, Ironwood, MI 49938 | 2020-06-08 |
| 1295107704 | Susanna Lee Harris | Counselor | 220 Roosevelt St, Ironwood, MI 49938 | 2015-10-22 |
| 1609214600 | Eve J. Komosa | Physician Assistant | N. 10561 Grand View Lane, Aspirus Grand View, Ironwood, MI 49938 | 2013-06-12 |
| 1255629861 | Tatyana G Bombard | Radiology | Aspirus Ironwood Hospital, N10561 Grand View Lane, Ironwood, MI 49938 | 2011-07-17 |
| 1205140761 | Allison Harr | Advanced Practice Midwife | N 10565 Grandview Lane, Ironwood, MI 49938 | 2010-07-27 |
| 1821267956 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 220 Rooselvelt Street, Ironwood, MI 49938 | 2008-02-22 |
| 1215106349 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 427 S. Stephenson Avenue, Suite 214, Iron Mountain, MI 49938 | 2008-02-22 |
| 1740466176 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 10305 Country Club Road, Ironwood, MI 49938 | 2008-01-16 |
| 1396811121 | Rebecca Lynn Mika | Occupational Therapist | 1310 E Cloverland Dr, Ironwood, MI 49938 | 2006-11-24 |
| 1306940432 | Marsha Miller Toohey | Chiropractor | 129 E Ayer St, Ironwood, MI 49938 | 2006-09-11 |
| Find all providers in zip 49938 | ||||
| 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 |
|---|---|---|---|---|
| 1316341571 | Kelsey Ladwig | Nurse Anesthetist, Certified Registered | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2014-10-17 |
| 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.