DETROIT MEDICAL CENTER COOPERATIVE (NPI# 1548213572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548213572 |
Entity Type | Organization |
Organization Name | DETROIT MEDICAL CENTER COOPERATIVE |
Other Organization Name | DMC COOPERATIVE SERVICES |
Practice Address |
4201 Saint Antoine St Detroit MI 48201-2153 |
Mailing Address |
Dept 203401 Po Box 67000 Detroit MI 48267-0001 |
Practice Telephone | 3137453607 |
Mailing Telephone | 3135782820 |
Enumeration Date | 2006-05-19 |
Last Update Date | 2007-09-26 |
Authorized Official Name | MR. MICHAEL PELC (VP FINANCE) |
Authorized Official Telephone | 3135782820 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | MEDICARE | 0N24360 | 01 |
Other Name | Type Code |
---|---|
DMC COOPERATIVE SERVICES | Doing Business As Name - Organization |
Street Address |
4201 SAINT ANTOINE ST |
City | DETROIT |
State | MI |
Zip Code | 48201-2153 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760477871 | John Mckay Perkowski | Nurse Anesthetist, Certified Registered | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2005-09-14 |
1013517028 | Madappulli Arachchige Wickrama | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-10-28 |
1134731466 | Helda Bacall | Nurse Practitioner | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-08-18 |
1568088680 | Michelle De Varennes | Physician Assistant | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-24 |
1235754144 | Saren Yeranosian | Pharmacist | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-16 |
1083239230 | Jacqueline Ferraro-jaworski | Pharmacist | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-13 |
1770107617 | Zamaan Sayeed Sohel | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-06 |
1881218790 | Erin Marie Dinnell | Nurse Practitioner | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-06-05 |
1487276721 | Andrew R Kumar | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-05-09 |
1598386005 | Kayla Richelle Robinson | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-05-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
Find all providers in zip 48201 |
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 |
---|---|---|---|---|
1891352464 | Amanda Lori Cremeens | Nurse Anesthetist, Certified Registered | 4707 Saint Antoine St Ste E510, Detroit, MI 48201-1427 | 2019-05-20 |
1003355934 | Kurt Belen | Nurse Anesthetist, Certified Registered | 10814 Duprey St, Detroit, MI 48224-1295 | 2017-02-12 |
1891153672 | Elizabeth Smith | Nurse Anesthetist, Certified Registered | 232 E Palmer St, Apt #5, Detroit, MI 48202-3857 | 2016-02-08 |
1750748869 | Joshua Olson | Nurse Anesthetist, Certified Registered | 2945 Burns St, Detroit, MI 48214-1800 | 2016-01-20 |
1871959395 | Bianca Fields | Nurse Anesthetist, Certified Registered | 20271 Murray Hill St, Detroit, MI 48235-2130 | 2016-01-13 |
1205230315 | Jason Amador | Nurse Anesthetist, Certified Registered | 301 E Palmer St, Detroit, MI 48202-3823 | 2014-10-17 |
1609012590 | Lashonda Tiyon Turner | Nurse Anesthetist, Certified Registered | 3663 Woodward Ave, 200, Detroit, MI 48201-2445 | 2008-12-23 |
1518013044 | Michael Ford | Nurse Anesthetist, Certified Registered | 1 Ford Pl # 4e, Detroit, MI 48202-3450 | 2007-01-26 |
1154367399 | Margarete Holmes-ross | Nurse Anesthetist, Certified Registered | 244 Arden Park Blvd, Detroit, MI 48202-1302 | 2006-06-22 |
1760477871 | John Mckay Perkowski | Nurse Anesthetist, Certified Registered | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2005-09-14 |
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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.