KENNETH DARRYL KAWA (NPI# 1902874308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902874308 |
| Entity Type | Individual |
| Full Name | KENNETH DARRYL KAWA |
| Credential | CRNA |
| Practice Address |
21230 Dequindre Rd Warren MI 48091-2279 |
| Practice Telephone | 5864271000 |
| Mailing Telephone | 5864271000 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2009-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704127316 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2749009 | 05 | |
| MI | BCBSM | 430F364420 | 01 |
| Street Address |
21230 DEQUINDRE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48091-2279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962402354 | Southeast Michigan Surgical Hospital, LLC | General Acute Care Hospital | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2005-07-28 |
| 1548895550 | Insight Urgent Care PC | Clinic/Center | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2020-03-10 |
| 1477049260 | Alexander Icardi | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2018-07-05 |
| 1487140521 | William Alexander Carter | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2018-07-02 |
| 1073008371 | Firras Garada | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2018-06-28 |
| 1801305198 | Tricia Ann Haener | Registered Nurse | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-09-29 |
| 1588180509 | Joshua Bennett | Dietitian, Registered | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-08-22 |
| 1801311030 | Susan Marie Vendemelio | Pharmacist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-08-09 |
| 1629593868 | Patrick Brien Butters | Pharmacist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-08-09 |
| 1477074904 | Seyed Sadegh Arab | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2017-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548615172 | Amanda Lynn Kelsey | Nurse Practitioner | 21647 Ryan Road, Warren, MI 48091 | 2016-05-02 |
| 1902284474 | Daejana Maldonado | Licensed Practical Nurse | 7519 Toepfer, Warren, MI 48091 | 2015-05-15 |
| 1245637743 | Jerami Roy | Recreation Therapist | 7086 E 9 Mile, Warren, MI 48091 | 2014-11-26 |
| 1265698344 | Amanda Sarah Yousif-mansour | Dentist | 2442 E 10 Mile Road, Warren, MI 48091 | 2008-07-29 |
| 1326171166 | Sunshine Dental Center PC | Dentist | 21761 Ryan Rd, Warren, MI 48091 | 2007-03-13 |
| 1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1790835452 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2000 Ten Mile Rd., Warren, MI 48091 | 2007-01-12 |
| 1942363759 | Carolyn Joan Sucaet | Physical Therapist | 20952 12 Mile Road, Suite 110, St. Clair Shores, FM 48091 | 2006-12-19 |
| 1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
| Find all providers in zip 48091 | ||||
| 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 |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1780860288 | Amy L Combs | Nurse Anesthetist, Certified Registered | 13692 Leonard Ave, Warren, MI 48089-2822 | 2008-01-14 |
| 1699963256 | Diane Grace Dicenso | Nurse Anesthetist, Certified Registered | 1350 East Market St, Trumbull Memorial Hospital, Warren, OH 44484 | 2007-10-09 |
| 1205992476 | Emerita Tabor Banas | Nurse Anesthetist, Certified Registered | 11800 East 12-mile Rd, Warren, MI 48093 | 2006-12-29 |
| 1417930777 | Mark A Morici | Nurse Anesthetist, Certified Registered | 2 Farm Colony Dr, Warren, PA 16365-5206 | 2005-11-21 |
| 1194350645 | Katherine Sara Streidl | Nurse Anesthetist, Certified Registered | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-03-05 |
| 1952774036 | Paul Hilliker | Nurse Anesthetist, Certified Registered | 11800 E 12 Mile Rd, Warren, MI 48093 | 2015-11-11 |
| 1265857577 | Amanda Danielle Angus | Nurse Anesthetist, Certified Registered | 667 Eastland Ave Se, Warren, OH 44484-4503 | 2014-02-24 |
| 1821429184 | Benjamin Hoste | Nurse Anesthetist, Certified Registered | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2013-12-11 |
| Find all providers in WARREN | ||||
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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.