ASCENSION MACOMB OAKLAND HOSPITAL (NPI# 1871793505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871793505 |
| Entity Type | Organization |
| Organization Name | ASCENSION MACOMB OAKLAND HOSPITAL |
| Other Organization Name | ST. JOHN OAKLAND HOSPITAL CRNAS |
| Practice Address |
27351 Dequindre Rd Madison Heights MI 48071-3487 |
| Practice Telephone | 2489677082 |
| Mailing Telephone | 2489677082 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | TOMASINE F MARX (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3133437676 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. JOHN MACOMB-OAKLAND HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BSMI | 430F338250 | 01 |
| Other Name | Type Code |
|---|---|
| St. John Oakland Hospital CRNAs | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356775001 | Ascension Macomb Oakland Hospital | Internal Medicine | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2013-08-29 |
| 1548609761 | Ascension Macomb Oakland Hospital | Social Worker | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2013-06-20 |
| 1720390453 | Ascension Macomb Oakland Hospital | Internal Medicine | 2800 Livernois Rd, Suite 500, Troy, MI 48083-1215 | 2010-07-10 |
| 1083872923 | Ascension Macomb Oakland Hospital | Emergency Medicine | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2008-05-28 |
| 1518124320 | Ascension Macomb Oakland Hospital | Internal Medicine | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2008-05-20 |
| 1427251420 | Ascension Macomb Oakland Hospital | Psychiatric Unit | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2007-06-07 |
| 1215139233 | Ascension Macomb Oakland Hospital | General Acute Care Hospital | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2007-06-01 |
| 1578696092 | Ascension Macomb Oakland Hospital | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2007-03-13 |
| 1114962461 | Ascension Macomb Oakland Hospital | Neurological Surgery | 27450 Schoenherr Rd, Suite 200, Warren, MI 48088-6683 | 2006-06-19 |
| 1396789434 | Ascension Macomb Oakland Hospital | Nurse Anesthetist, Certified Registered | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2006-06-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ASCENSION MACOMB OAKLAND HOSPITAL | 11800 E 12 Mile Rd, Warren, MI 48093-3472 |
| Street Address |
27351 DEQUINDRE RD |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071-3487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235126996 | J Barry Rubin | Psychiatry & Neurology | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2005-09-28 |
| 1134743206 | Ani Mnatsakanian | Otolaryngology | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-06-03 |
| 1669096111 | Jacob Alexander Martin Novack | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-06-01 |
| 1205459971 | Brentwood Oftedal | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-28 |
| 1700409703 | Noorel Zia | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-26 |
| 1790308047 | Nora Rader | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-21 |
| 1861014680 | Kevin Conor Kenney | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-14 |
| 1750902409 | Dean Balabanov | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-05 |
| 1437770161 | Charles Rodarmor | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-05 |
| 1194346106 | Elvin Chiang | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1033776372 | Terry Ky-sieu Tran | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd., Madison Height, MI 48071 | 2019-05-22 |
| 1942865894 | Jordan Lee Stav | Student in an Organized Health Care Education/Training Program | Sjmo Emergency Medicine Residency Program, 27351 Dequindre Rd, Madison Heights, MI 48071 | 2019-05-07 |
| 1538624960 | Holistic Therapy Institute Physical Therapy, Inc. | Physical Therapist | 30201 Dequidre Rd Suite1, Madison Hts, MI 48071 | 2019-02-11 |
| 1720558216 | Kevin Luce | Physical Therapy Assistant | 1433 E 12 Mile Road, Madison Heights, MI 48071 | 2018-11-28 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1730602004 | Ali Bazzy | Nurse Practitioner | 27483 Dequindre Suite 304, Madison Hgts, MI 48071 | 2017-07-19 |
| Find all providers in zip 48071 | ||||
| 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 |
|---|---|---|---|---|
| 1629252119 | Motria M Schulte | Nurse Anesthetist, Certified Registered | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2007-12-20 |
| 1780703686 | Adrienne V. Green | Nurse Anesthetist, Certified Registered | 30671 Stephenson Hwy, Madison Heights, MI 48071-1635 | 2007-03-29 |
| 1407987506 | Robert Thomas Losey | Nurse Anesthetist, Certified Registered | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2007-03-08 |
| 1962568485 | Felonila Aquino Stewart | Nurse Anesthetist, Certified Registered | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2006-12-29 |
| 1811905490 | Anastasia A Ganesh | Nurse Anesthetist, Certified Registered | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2006-08-03 |
| 1437187903 | St. John Health System Oakland | Nurse Anesthetist, Certified Registered | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2006-06-30 |
| 1962431411 | Ronald W Gellasch | Nurse Anesthetist, Certified Registered | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2006-06-30 |
| 1831131010 | Adelina A Almachar | Nurse Anesthetist, Certified Registered | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2006-06-12 |
| 1447292628 | Gary L Pineau | Nurse Anesthetist, Certified Registered | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2006-06-12 |
| 1700833100 | William Gilbert | Nurse Anesthetist, Certified Registered | 30671 Stephenson Hwy, Madison Heights, MI 48071-1635 | 2006-05-30 |
| Find all providers in MADISON HEIGHTS | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
Please comment or provide details below to improve the information on ASCENSION MACOMB OAKLAND HOSPITAL.
| 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.