ANESTHESIA SURGICAL ASSOCIATES, PLLC (NPI# 1982084497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982084497 |
| Entity Type | Organization |
| Organization Name | ANESTHESIA SURGICAL ASSOCIATES, PLLC |
| Practice Address |
34025 Harper Ave Clinton Township MI 48035-3737 |
| Mailing Address |
18100 Oakwood Blvd Ste 100 Dearborn MI 48124-4085 |
| Practice Telephone | 7342123097 |
| Practice Fax Number | 7342123114 |
| Mailing Telephone | 7342123097 |
| Mailing Fax Number | 7342123114 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2018-10-25 |
| Authorized Official Name | DR. RICARDO BORREGO (OWNER/PRESIDENT) |
| Authorized Official Telephone | 7342123097 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | E64971 | MI | Allopathic & Osteopathic Physicians |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | E64971 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
34025 HARPER AVE |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48035-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861448334 | Tg Do PC | Psychiatry & Neurology | 34025 Harper Ave, Clinton Township, MI 48035-3737 | 2006-05-26 |
| 1578105888 | Sarah A Vella | Physician Assistant | 34025 Harper Ave, Clinton Township, MI 48035-3737 | 2019-10-09 |
| 1629467204 | Michigan Neurology Associates | Health Maintenance Organization | 34025 Harper Ave, Clinton Township, MI 48035-3737 | 2015-01-20 |
| 1639598352 | Marcia Camero | Nurse Practitioner | 34025 Harper Ave, Clinton Township, MI 48035-3737 | 2014-04-09 |
| 1346665072 | Kayla Beth Roggenbuck | Occupational Therapist | 34025 Harper Ave, Clinton Township, MI 48035-3737 | 2014-03-05 |
| 1598023665 | George Matthew Dillon | Psychiatry & Neurology | 34025 Harper Ave, Clinton Township, MI 48035 | 2012-04-26 |
| 1295016947 | Premier Pharmacy LLC | Pharmacy | 34025 Harper Ave, Clinton Township, MI 48035-3737 | 2011-09-07 |
| 1912227455 | Syed Abbas Hussain Moosavi | Physical Medicine & Rehabilitation | 34025 Harper Ave, Clinton Township, MI 48035-3737 | 2010-06-07 |
| 1063645836 | Alan Scott Wilson | Physician Assistant | 34025 Harper Ave, Clinton Township, MI 48035-3737 | 2009-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155950 | Convenient Ct PC | Dentist | 35992 S. Gratiot Ave, Clinton Twp, MI 48035 | 2019-07-10 |
| 1962974402 | Care Continuum, LLC | Physical Therapist | 35746 Harper Avenue, Clinton Twp, MI 48035 | 2018-12-21 |
| 1093233884 | Justin Scott Lemanski | Student in an Organized Health Care Education/Training Program | 23162 Talbot, Cinton Twp., MI 48035 | 2017-08-31 |
| 1689035842 | Audionet America Inc | Audiologist | 33830 Harper Ave, Clinton Twp, MI 48035 | 2016-03-16 |
| 1194149054 | Cherian Kochuparampil | Behavioral Analyst | 23195 Elmira, Clinton Township, MI 48035 | 2014-02-13 |
| 1417255688 | Laura Christine Miller | Speech-Language Pathologist | 21173 Suffolk St, Clinton Township, MI 48035 | 2011-03-11 |
| 1780987404 | Cindy Sue Rodammer | Physical Therapy Assistant | 35746 Harper, Clinton Twp, MI 48035 | 2010-12-20 |
| 1427376953 | Heather Kuczynski | Physical Therapy Assistant | 35746 Harper St, Clinton Twp., MI 48035 | 2010-05-07 |
| 1023280542 | Douglas Shore & Sylvia Voelker Ptrs | Psychologist | 34605 Harper Avenue, Clinton Township, MI 48035 | 2008-03-25 |
| 1891964292 | Adam Gregg Feinstein | Neuromusculoskeletal Medicine & OMM | 36397 Harper Ave, Clinton Township, MI 48035 | 2008-02-29 |
| Find all providers in zip 48035 | ||||
| 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 |
|---|---|---|---|---|
| 1508337197 | Derek Baker | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2018-12-08 |
| 1508337122 | Jessica Noelle Redding | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2018-12-07 |
| 1396235693 | Brittany Kay Moulton | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2018-05-14 |
| 1689105959 | Tara Taveggia | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2017-03-27 |
| 1285056267 | Henry Cortez Uban II | Nurse Anesthetist, Certified Registered | 43421 Garfield Rd, Clinton Township, MI 48038-1133 | 2014-01-10 |
| 1508203308 | Laura Marie Gafner | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2013-06-03 |
| 1902144504 | Matthew Curtis Denryter | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2013-01-17 |
| 1801160775 | Kerri M Stafford | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2012-02-24 |
| 1487926713 | Jon T Braman | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2012-02-02 |
| 1811273725 | Jennifer M Parker | Nurse Anesthetist, Certified Registered | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2011-10-25 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48035 |
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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.