MICHIGAN CRITICAL CARE ANESTHESIOLOGY (NPI# 1750689121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750689121 |
| Entity Type | Organization |
| Organization Name | MICHIGAN CRITICAL CARE ANESTHESIOLOGY |
| Other Organization Name | MICHIGAN CCA PLC |
| Practice Address |
18101 Oakwood Blvd Dearborn MI 48124-4089 |
| Mailing Address |
8316 Virgil St Dearborn Heights MI 48127-1520 |
| Practice Telephone | 3133593539 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-04-19 |
| Authorized Official Name | KRASSIMIR DENCHEV (OWNER) |
| Authorized Official Telephone | 3133593539 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Michigan CCA PLC | Doing Business As Name - Organization |
| Street Address |
18101 OAKWOOD BLVD |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-4089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568036 | Professional Emergency Care, P.C. | Internal Medicine | 18101 Oakwood Blvd, Emergency Medicine Department, Dearborn, MI 48124-4089 | 2005-06-20 |
| 1932706033 | Janette Torrico-woo | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1528665577 | Nadia Farhat | General Acute Care Hospital | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1992302053 | Sara Marquardt | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1790382869 | Jennifer Anne Rotter | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-10-02 |
| 1184230054 | Ashley Stoeckle | Clinical Nurse Specialist | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-09-16 |
| 1841802584 | Lamise Mohana | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-08-22 |
| 1629687058 | Samantha Ross | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-07-31 |
| 1114535499 | Lauren E Krall | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-07-22 |
| 1649888959 | Layale Makki | Registered Nurse | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2020-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1588924344 | Dashanique Williams | Anesthesiology | 42225 Fairview Dr, Canton, MI 48187-3716 | 2012-05-25 |
| 1043410400 | Ajay Anand Khilanani | Anesthesiology | 100 Michigan St. Ne, Grand Rapids, MI 49503 | 2007-07-23 |
| 1528018256 | Emad Alatassi | Anesthesiology | 13251 E 10 Mile Rd Ste 800, Warren, MI 48089-2077 | 2006-05-11 |
| 1386188761 | Brian Trethowan | Anesthesiology | 100 Michigan St Ne, Suite 8861, Grand Rapids, MI 49503-2560 | 2016-12-05 |
| 1245675024 | Payal Boss | Anesthesiology | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2013-05-07 |
| 1861770851 | Carrie E Harvey | Anesthesiology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2011-07-26 |
| 1881987006 | Penny Wilton | Anesthesiology | 100 Michigan St Ne, Suite 8861, Grand Rapids, MI 49503-2560 | 2011-05-20 |
| 1417247099 | Rajat Praveenchandra Pareek | Anesthesiology | 100 Michigan St Ne, Mc 117, Grand Rapids, MI 49503 | 2011-04-15 |
| 1356640718 | Lisa Marie Colosimo | Anesthesiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2011-03-23 |
| 1417266339 | Nicole Renee Tantipitham | Anesthesiology | 1500 E Medical Center Dr, 1h247 University Hospital, Ann Arbor, MI 48109-5048 | 2010-09-27 |
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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.