MRS. MELISSA G DIFFENDERFER (NPI# 1659366680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659366680 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA G DIFFENDERFER |
| Credential | CRNA |
| Practice Address |
30200 Telegraph Rd Suite 220 Bingham Farms MI 48025-4502 |
| Mailing Address |
6200 Sturgeon Creek Pkwy Midland MI 48640-2276 |
| Practice Telephone | 2482585058 |
| Mailing Telephone | 9897083469 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2012-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704186832 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE RAIL ROAD TSC | 430068157 | 01 |
| MI | BCBS TSC | 430B810310 | 01 |
| Street Address |
30200 TELEGRAPH RD SUITE 220 |
| City | BINGHAM FARMS |
| State | MI |
| Zip Code | 48025-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376001180 | Cheryl Lugean Mason | Counselor | 30200 Telegraph Rd, Bingham Farms, MI 48025-4502 | 2019-03-11 |
| 1457843203 | Ashlyn Paige Compau | In Home Supportive Care | 30200 Telegraph Rd, Bingham Farms, MI 48025-4502 | 2018-06-06 |
| 1932636727 | Justin Doty | Nurse Anesthetist, Certified Registered | 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | 2017-05-11 |
| 1063864494 | Rhondi Lynne Mcgill | Social Worker | 30200 Telegraph Rd, Suite207, Bingham Farms, MI 48025-4502 | 2016-07-09 |
| 1790130953 | Samuel Broaden | Driver | 30200 Telegraph Rd, 404, Bingham Farms, MI 48025-4502 | 2016-04-25 |
| 1376942599 | Lisa Ann Weiss | Psychologist | 30200 Telegraph Rd, Suite 207, Bingham Farms, MI 48025-4502 | 2014-08-14 |
| 1619384815 | Brian David Bradley | Psychologist | 30200 Telegraph Rd, Suite 207, Bingham Farms, MI 48025-4502 | 2014-07-20 |
| 1730511346 | Direct Path Services, P.C. | Clinical Medical Laboratory | 30200 Telegraph Rd, Suite 405, Bingham Farms, MI 48025-4502 | 2013-08-06 |
| 1881036754 | Apex Therapy Services, Inc | Psychologist | 30200 Telegraph Rd, Suite 207, Bingham Farms, MI 48025-4502 | 2013-07-22 |
| 1275805483 | Katie Perz Zacharzewski | Anesthesiology | 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | 2012-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| 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 |
|---|---|---|---|---|
| 1376672527 | Philip R Bowers | Nurse Anesthetist, Certified Registered | 30200 Telegraph Rd Ste 220, Bingham Farms, MI 48025-4506 | 2007-03-05 |
| 1265542245 | Freaddie V Moore | Nurse Anesthetist, Certified Registered | 30200 Telegraph Road, 220, Bingham Farms, MI 48025-4502 | 2006-08-30 |
| 1932636727 | Justin Doty | Nurse Anesthetist, Certified Registered | 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | 2017-05-11 |
| 1265896492 | Wendy Annette Grigg | Nurse Anesthetist, Certified Registered | 30400 Telegraph Rd, Bingham Farms, MI 48025-4537 | 2016-04-13 |
| 1255661567 | Treavor Eimers | Nurse Anesthetist, Certified Registered | 30200 Telegraph Rd, #220, Bingham Farms, MI 48025-4502 | 2010-01-08 |
| 1306076195 | Thumb Area Anesthesia Associates | Nurse Anesthetist, Certified Registered | 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | 2009-07-15 |
| 1548401946 | Thumb Area Anesthesia Associates | Nurse Anesthetist, Certified Registered | 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | 2009-03-13 |
| 1053515601 | Jennifer Lynn Havenstein | Nurse Anesthetist, Certified Registered | 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | 2007-06-14 |
| 1912952573 | Andrea J. Teitel | Nurse Anesthetist, Certified Registered | 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | 2006-05-23 |
| 1104874221 | Michele Burke | Nurse Anesthetist, Certified Registered | 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | 2006-05-04 |
| Find all providers in BINGHAM FARMS | ||||
| City | BINGHAM FARMS |
| Zip Code | 48025 |
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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.