LISA HYDORN (NPI# 1598238172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598238172 |
| Entity Type | Individual |
| Full Name | LISA HYDORN |
| Practice Address |
47601 Grand River Ave Novi MI 48374-1233 |
| Mailing Address |
30400 Telegraph Rd Ste 405 Bingham Farms MI 48025-5817 |
| Practice Telephone | 2484654249 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704289100 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
47601 GRAND RIVER AVE |
| City | NOVI |
| State | MI |
| Zip Code | 48374-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265431696 | Colleen Larose Miele | Pediatrics | 47601 Grand River Ave, B233, Novi, MI 48374-1233 | 2005-07-19 |
| 1821610478 | Harjot Gill | Physician Assistant | 47601 Grand River Ave, Novi, MI 48374-1233 | 2020-05-16 |
| 1417578147 | Sean Patrick Hohl | Registered Nurse | 47601 Grand River Ave, Novi, MI 48374-1233 | 2020-05-05 |
| 1952946972 | Adam C Donnellon | Physician Assistant | 47601 Grand River Ave, Novi, MI 48374-1233 | 2019-11-13 |
| 1508412826 | Kathleen Ruffolo | Nurse Practitioner | 47601 Grand River Ave, Novi, MI 48374-1233 | 2019-08-13 |
| 1073167532 | Candace Lee Hogrefe | Nurse Anesthetist, Certified Registered | 47601 Grand River Ave, Novi, MI 48374 | 2019-08-01 |
| 1134780794 | Taylor Garland | Physician Assistant | 47601 Grand River Ave, Novi, MI 48374-1233 | 2019-06-25 |
| 1881253375 | Alessandra Vincenza Palazzolo | Internal Medicine | 47601 Grand River Ave, Novi, MI 48374-1233 | 2019-06-10 |
| 1558863365 | Jocelyn Cartujano Baisa | Physical Therapist | 47601 Grand River Ave, Novi, MI 48374-1233 | 2018-03-07 |
| 1417459991 | Jennifer Kay Mcdonald | Physical Therapist | 47601 Grand River Ave, Novi, MI 48374-1233 | 2018-03-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902323884 | Jhansi Navuluri | Physical Therapist | 27579 Etrada Lane, Novi, MI 48374 | 2017-08-23 |
| 1609306422 | James Vanderhaeghen | Foster Care Agency | 24375 Homestead Ct, Novi, MI 48374 | 2017-06-14 |
| 1558810622 | Iryna Chaykivska | Nurse Anesthetist, Certified Registered | 47601 Grand River Avenue, Novi, MI 48374 | 2016-09-29 |
| 1477937944 | Joseph Smola | Chiropractor | 48000 Grand River Ave, Novi, MI 48374 | 2015-07-15 |
| 1881005114 | Alpha Medical Services PC | Internal Medicine | 26131, Sunbury Ct, Novi, MI 48374 | 2014-05-08 |
| 1043565443 | Jason J Rizqallah | Surgery | 47601 Grand River Ave # B136, Novi, MI 48374 | 2012-07-21 |
| 1780992628 | Khyati Patel | Internal Medicine | 26850 Providence Pkwy Ste 420, Novi, MI 48374 | 2010-09-14 |
| 1891963799 | Luann Marie Redmond | Social Worker | 50598 Montana, Novi, MI 48374 | 2008-02-13 |
| 1427249424 | Ajay V Raman | Anesthesiology | 24875 Novi Road #454, Novi, MI 48374 | 2007-08-05 |
| 1003948233 | Sam's Club Optical | Technician/Technologist | 27300 Wixon Road, Novi, MI 48374 | 2007-03-12 |
| Find all providers in zip 48374 | ||||
| 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 |
|---|---|---|---|---|
| 1558810622 | Iryna Chaykivska | Nurse Anesthetist, Certified Registered | 47601 Grand River Avenue, Novi, MI 48374 | 2016-09-29 |
| 1417984808 | Christine Desilva | Nurse Anesthetist, Certified Registered | 20755 Emily Ct, Novi, MI 48375-4776 | 2006-06-28 |
| 1073167532 | Candace Lee Hogrefe | Nurse Anesthetist, Certified Registered | 47601 Grand River Ave, Novi, MI 48374 | 2019-08-01 |
| 1659897734 | Jason G Saineghi | Nurse Anesthetist, Certified Registered | 47601 Grand River Ave, Novi, MI 48374-1233 | 2017-08-20 |
| 1417472069 | Christopher James Casinelli | Nurse Anesthetist, Certified Registered | 47601 Grand River Ave, Novi, MI 48374-1233 | 2017-08-04 |
| 1518403096 | Silvana Radulescu | Nurse Anesthetist, Certified Registered | 47601 Grand River Ave, Novi, MI 48374-1233 | 2017-01-09 |
| 1295284214 | Jing Zhang | Nurse Anesthetist, Certified Registered | 47601 Grand River Ave, Novi, MI 48374-1233 | 2016-10-03 |
| 1780045062 | Eric Mirkin | Nurse Anesthetist, Certified Registered | 47601 Grand River Ave, Novi, MI 48374-1233 | 2016-03-14 |
| 1194129718 | Amanda Lynn Murray | Nurse Anesthetist, Certified Registered | 47601 Grand River Ave, Novi, MI 48374-1233 | 2014-10-09 |
| 1063714574 | Michael B Pfeifer | Nurse Anesthetist, Certified Registered | 47601 Grand River Ave, Novi, MI 48374-1233 | 2010-12-03 |
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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.