Larry M Manders (NPI# 1710393970, PAC ID# 0547486060) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1710393970 |
| PAC ID by PECOS | 0547486060 |
| Professional Enrollment ID | I20190806000581 |
| Full Name | Larry M Manders |
| Organization Legal Name | AMERICAN ANESTHESIOLOGY OF MICHIGAN PC |
| Address |
44201 Dequindre Rd Troy MI 48085-1117 |
| Phone Number | 2489645000 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 5294648804 |
| Number of Group Practice Members | 162 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| 230269 | BEAUMONT HOSPITAL, TROY |
| Address | Phone | Organization |
|---|---|---|
| 44201 Dequindre Rd, Troy, MI 48085-1117 | 2489645000 | AMERICAN ANESTHESIOLOGY OF MICHIGAN PC |
| Organization Legal Name | AMERICAN ANESTHESIOLOGY OF MICHIGAN PC |
| Physicians | 159 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindy Chan Juan Lin | Anesthesiology | American Anesthesiology of Michigan PC | 1719 W Big Beaver Rd, Troy, MI 48084-3510 |
| Joel B Buffington | Anesthesiology | American Anesthesiology of Michigan PC | 2432 Genesys Pkwy, Grand Blanc, MI 48439-8069 |
| Kara A Pavone | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Michigan PC | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 |
| Christine A Smith | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Michigan PC | 2432 Genesys Pkwy, Grand Blanc, MI 48439-8069 |
| Robert M Fedorow | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Michigan PC | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 |
| Neshan V Ohanian | Anesthesiology | American Anesthesiology of Michigan PC | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 |
| Laurie Easter | Anesthesiology | American Anesthesiology of Michigan PC | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 |
| Daniel A Sapeika | Anesthesiology | American Anesthesiology of Michigan PC | 26025 Lahser Rd, Southfield, MI 48033-2606 |
| Umberto Berlasi | Anesthesiology | American Anesthesiology of Michigan PC | 11800 E 12 Mile Rd, Warren, MI 48093-3472 |
| Brittany L Keough | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Michigan PC | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 |
| Street Address |
44201 DEQUINDRE RD |
| City | TROY |
| State | MI |
| Zip | 48085-1117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie A Davenport | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Ellen O Martines | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| David Donaldson | Emergency Medicine | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Yan Lin | Hospitalist | Hospital Consultants PC | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Tiffany Elyse Drane | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Danielle E Braniecki | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Susan Marie Winay | Certified Registered Nurse Anesthetist (crna) | William Beaumont Hospital | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Michael A Yusaf | Orthopedic Surgery | Rochester Knee and Sports Medicine PC | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Jennifer Rita Walster | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Danielle Marie Friedrich | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark R Zohoury | Internal Medicine | 44201 Dequindre, Troy, MI 48085-1117 | |
| Emily E Corba | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Anita K Chadha | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Elizabeth A Putt | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Chelsea Niemi | Physician Assistant | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Anna Marie Glaros | Certified Registered Nurse Anesthetist (crna) | William Beaumont Hospital | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Matthew V Christensen | Emergency Medicine | Beaumont Medical Group Hospital Based Services | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Shane Corey Sluka | Physician Assistant | Michigan Orthopaedic Spine Surgeons PC | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Suzanne Romadan | Internal Medicine | 44201 Dequindre Rd, Troy, MI 48085-1117 | |
| Kristie L Kaminski | Certified Registered Nurse Anesthetist (crna) | William Beaumont Hospital | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Find all physicians in zip 48085 | |||
| City | TROY |
| Zip Code | 48085 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | TROY + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Larry M Manders.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.