EATON RAPIDS MEDICAL CENTER (NPI# 1679623904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679623904 |
| Entity Type | Organization |
| Organization Name | EATON RAPIDS MEDICAL CENTER |
| Other Organization Name | EATON RAPIDS COMMUNITY HOSPITAL |
| Practice Address |
1500 S Main St Eaton Rapids MI 48827-1952 |
| Practice Telephone | 5176632671 |
| Practice Fax Number | 5176632472 |
| Mailing Telephone | 5176632671 |
| Mailing Fax Number | 5176632472 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2013-12-04 |
| Authorized Official Name | MR. TIMOTHY J JOHNSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5176639474 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS CRNA PIN | OM93480 | 01 |
| Other Name | Type Code |
|---|---|
| Eaton Rapids Community Hospital | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437383296 | Eaton Rapids Medical Center | Family Medicine | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2009-05-08 |
| 1588810709 | Eaton Rapids Medical Center | Clinic/Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2008-08-08 |
| 1922267533 | Eaton Rapids Medical Center | General Acute Care Hospital | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2008-06-09 |
| 1629294046 | Eaton Rapids Medical Center | Medicare Defined Swing Bed Unit | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2007-04-17 |
| 1730237165 | Eaton Rapids Medical Center | Emergency Medicine | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2007-01-08 |
| 1972651594 | Eaton Rapids Medical Center | Anesthesiology | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2007-01-08 |
| 1417044660 | Eaton Rapids Medical Center | General Acute Care Hospital | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2006-10-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EATON RAPIDS MEDICAL CENTER | 1500 S Main St, Eaton Rapids, MI 48827-1952 |
| Street Address |
1500 S MAIN ST |
| City | EATON RAPIDS |
| State | MI |
| Zip Code | 48827-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803087 | Tess Marie Powell | Nurse Practitioner | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2020-08-27 |
| 1982229837 | Catherine D Asteriou | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2020-06-16 |
| 1306467238 | Mclaren Central Michigan | Clinic/Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2020-05-01 |
| 1295203743 | Cosette Weaver | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2018-11-02 |
| 1730660689 | Laura Squier | Occupational Therapist | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-08-28 |
| 1861986317 | Matthew Weber Austin | Counselor | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-06-19 |
| 1447742465 | Meggen M Baynes | Nurse Practitioner | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-06-05 |
| 1750883625 | Jessica Mae Seguin | Speech-Language Pathologist | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-03-06 |
| 1912409376 | Staci Feldpausch | Physical Therapy Assistant | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-03-01 |
| 1750882312 | Blake Mueller | Physical Therapist | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-02-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538399837 | Suzanne T O'rourke | Nurse Practitioner | 101 Spicerville Hwy, Eaton Rapids, MI 48827 | 2009-07-21 |
| 1831300706 | Wilson Homes, Inc. | Custodial Care Facility | 4511 Mills Hwy, Eaton Rapids, MI 48827 | 2007-05-24 |
| 1245370238 | Dianne Lynn Vanaken | Pharmacist | 122-124 S Main, Eaton Rapids, MI 48827 | 2007-02-07 |
| 1669562542 | Diane Jill Shawa | Pharmacy Technician | 1411 S. Main St., Eaton Rapids, MI 48827 | 2006-10-13 |
| 1417913104 | Jonathan Paul Wulff | Family Medicine | 1501 Kyle Street, Eaton Rapids, MI 48827 | 2006-04-22 |
| 1821648056 | Gina Marie Christopherson | Behavioral Analyst | 2549 Jolly Rd, Lansing, MI 48827 | 2019-09-19 |
| 1649750118 | Kahley Emens | Physical Therapist | 1415 S Main St Ste B, Eaton Rapids, MI 48827 | 2018-08-15 |
| 1285824805 | Paul D Hankenson Do PC | General Practice | 1501 Kyle Street, Eaton Rapids, MI 48827 | 2007-07-30 |
| 1487893665 | Teresa Gwen Miller | Physical Therapy Assistant | 118 Lansing St, Eaton Rapids, MI 48827-1024 | 2009-02-12 |
| 1295875284 | Central Pharmacy- Eaton Rapids, LLC | Pharmacy | 122-124 S Main Street, Eaton Rapids, MI 48827-1068 | 2007-02-07 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972651594 | Eaton Rapids Medical Center | Anesthesiology | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940670 | Paragon Anesthesia Pllc | Anesthesiology | 1144 Brookwood St, Birmingham, MI 48009-1010 | 2020-10-19 |
| 1790318475 | Kalamazoo Endo Center LLC | Anesthesiology | 3300 Cooley Ct, Portage, MI 49024-7430 | 2020-02-20 |
| 1497394712 | Universal Anesthesia Services Pllc | Anesthesiology | 2700 S Rochester Rd Ste B, Rochester Hills, MI 48307-4547 | 2020-01-03 |
| 1023659802 | Edward W Sparrow Hospital Association | Anesthesiology | 1200 E Michigan Ave Ste 101, Lansing, MI 48912-1800 | 2019-10-03 |
| 1174039184 | Zaki Anesthesia Pllc | Anesthesiology | 350 N Main St Unit 818, Royal Oak, MI 48067-4126 | 2017-12-28 |
| 1508378027 | Anesthesia Associates of Grand Rapids, Pllc | Anesthesiology | 200 Jefferson Ave., Se, Grand Rapids, MI 49503 | 2017-10-25 |
| 1396292322 | American Medical Center Group Pllc | Anesthesiology | 20905 Greenfield Rd Ste 603m, Southfield, MI 48075-5355 | 2016-09-07 |
| 1033562889 | Meagan Mcdavid | Anesthesiology | 4201 Saint Antoine St Dept Of, Detroit, MI 48201-2153 | 2016-07-18 |
| 1316303589 | Elite Anesthesia Services, Pllc | Anesthesiology | 8765 Clark Rd, Grand Ledge, MI 48837-9283 | 2016-01-04 |
| 1689051989 | Heriberto Juarez | Anesthesiology | 1848 E Sherman Blvd Ste Y, Muskegon, MI 49444-1963 | 2015-05-06 |
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| City | EATON RAPIDS |
| Zip Code | 48827 |
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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.