KIM D WIDRIG (NPI# 1629178447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629178447 |
| Entity Type | Individual |
| Full Name | KIM D WIDRIG |
| Credential | CRNA |
| Practice Address |
300 E Warwick Dr Alma MI 48801-1014 |
| Mailing Address |
300 E Warwick Dr Po Box 423 Alma MI 48801-1014 |
| Practice Telephone | 9894634418 |
| Practice Fax Number | 9894635900 |
| Mailing Telephone | 9894634418 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 470416489 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4801091 | 05 |
| Street Address |
300 E WARWICK DR |
| City | ALMA |
| State | MI |
| Zip Code | 48801-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003892696 | John M Wegner | Physician Assistant | 300 E Warwick Dr, Alma, MI 48801-1014 | 2005-12-16 |
| 1205437688 | Caspian Anesthesia Management, LLC | Nurse Anesthetist, Certified Registered | 300 E Warwick Dr, Alma, MI 48801-1014 | 2020-11-03 |
| 1578170759 | John Rooy | Speech-Language Pathologist | 300 E Warwick Dr, Alma, MI 48801-1014 | 2020-09-30 |
| 1245856277 | Omar Mouabbi | Pharmacist | 300 E Warwick Dr, Alma, MI 48801-1014 | 2020-06-25 |
| 1588283659 | Ryan Christopher Rollin | Speech-Language Pathologist | 300 E Warwick Dr, Alma, MI 48801-1014 | 2020-04-09 |
| 1740815547 | Timothy Burggraf | Nurse Practitioner | 300 E Warwick Dr, Alma, MI 48801-1096 | 2020-03-12 |
| 1992338032 | Anita Markel | Occupational Therapist | 300 E Warwick Dr, Alma, MI 48801-1014 | 2020-02-18 |
| 1811520943 | Jimson Tabiando Poquiz | Physical Medicine & Rehabilitation | 300 E Warwick Dr, Alma, MI 48801-1014 | 2020-02-18 |
| 1649837642 | Renee Ann Schott | Social Worker | 300 E Warwick Dr, Alma, MI 48801-1014 | 2019-05-24 |
| 1134681653 | Post-acute Physicians of Michigan Pllc | Physical Medicine & Rehabilitation | 300 E Warwick Dr, Alma, MI 48801-1014 | 2019-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407365851 | Lisa Diane Ackerman | Social Worker | 608 Wright Ave., Alma, MI 48801 | 2017-09-28 |
| 1679082028 | Amelia Hope Kasper | Case Manager/Care Coordinator | 608 Wright Avenue, Alma, MI 48801 | 2017-09-28 |
| 1245687516 | Mickaela Perez | Technician, Other | 623 W Warwick Dr Ste 2, Alma, MI 48801 | 2016-05-17 |
| 1639443005 | Bobbi L Hall | Pharmacist | 2805 W Cheesman Rd, Alma, MI 48801 | 2012-03-02 |
| 1588998652 | Jonathan Michael Daniels | Physician Assistant | 311 E. Warwick Dr., Alma, MI 48801 | 2009-09-23 |
| 1659593937 | Foot Care Inc | Durable Medical Equipment & Medical Supplies | 115 E Superior Street, Alma, MI 48801 | 2007-05-03 |
| 1689716193 | Sara A Wassenaar | Dentist | 226 N State Street, Alma, MI 48801 | 2007-02-12 |
| 1760574883 | Midmichigan Medical Center- Gratiot | Internal Medicine | 300 E. Warwick Drive, Alma, MI 48801 | 2006-09-28 |
| 1437250305 | Michael Robert St Louis | Physician Assistant | 300 South Warwick Drive, Alma, MI 48801 | 2006-09-25 |
| 1215032099 | Talal Omar Samhan | Urology | 1465 Mary Court, Alma, MI 48801 | 2006-09-14 |
| Find all providers in zip 48801 | ||||
| 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 |
|---|---|---|---|---|
| 1205998200 | Donald Edward Schaffer | Nurse Anesthetist, Certified Registered | 6063 W Van Buren Rd, Alma, MI 48801-9534 | 2006-12-15 |
| 1205437688 | Caspian Anesthesia Management, LLC | Nurse Anesthetist, Certified Registered | 300 E Warwick Dr, Alma, MI 48801-1014 | 2020-11-03 |
| 1659675718 | Superior Anesthesia for Everyone of Georgia, P.C. | Nurse Anesthetist, Certified Registered | 302 S Wayne St, Alma, GA 31510-2922 | 2011-01-04 |
| 1265537229 | Richard L Apps | Nurse Anesthetist, Certified Registered | 300 E Warwick Dr, Alma, MI 48801-1014 | 2006-09-14 |
| 1790880664 | Jonnie D Vanderhoef | Nurse Anesthetist, Certified Registered | 300 E Warwick Dr, Alma, MI 48801-1014 | 2006-09-14 |
| 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.