Sandra S Blix (NPI# 1982679080, PAC ID# 2860457595) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1982679080 |
| PAC ID by PECOS | 2860457595 |
| Professional Enrollment ID | I20050512000116 |
| Full Name | Sandra S Blix |
| Organization Legal Name | LIFELINC ANESTHESIA IV PC |
| Address |
3304 Cooley Ct Portage MI 49024-7430 |
| Phone Number | 8663626963 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 1989 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2264733948 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230021 | LAKELAND HOSPITAL, ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 31 N Saint Joseph Ave, Niles, MI 49120-2207 | 2696871879 | EDEN ANESTHESIA SERVICES INC |
| 3304 Cooley Ct, Portage, MI 49024-7430 | 8663626963 | LIFELINC ANESTHESIA IV PC |
| 2848 Niles Rd B, Great Lakes Surgery Center LLC, Saint Joseph, MI 49085-3352 | 2694283300 | LAKESHORE ANESTHESIA STAFFING LLC |
| Organization Legal Name | LIFELINC ANESTHESIA IV PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Pulford | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Iv PC | 3304 Cooley Ct, Portage, MI 49024-7430 |
| Kendra S Burns | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Iv PC | 3304 Cooley Ct, Portage, MI 49024-7430 |
| Hans N Larsen Iv | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Iv PC | 3304 Cooley Ct, Portage, MI 49024-7430 |
| Street Address |
3304 COOLEY CT |
| City | PORTAGE |
| State | MI |
| Zip | 49024-7430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Anne Wasserman | Gastroenterology | Bronson Methodist Hospital | 3304 Cooley Ct, Portage, MI 49024-7430 |
| Michael A Pulford | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Iv PC | 3304 Cooley Ct, Portage, MI 49024-7430 |
| Ali A Siddiqui | Gastroenterology | Bronson Methodist Hospital | 3304 Cooley Ct, Portage, MI 49024-7430 |
| Chethana Kanaparthi | Gastroenterology | Bronson Methodist Hospital | 3304 Cooley Ct, Portage, MI 49024-7430 |
| Eric Neil Steinberg | Gastroenterology | Bronson Methodist Hospital | 3304 Cooley Ct, Portage, MI 49024-7430 |
| Amanda M Veeneman | Nurse Practitioner | Bronson Methodist Hospital | 3304 Cooley Ct, Portage, MI 49024-7430 |
| Jonathan Edward Jensen | Gastroenterology | Bronson Methodist Hospital | 3304 Cooley Ct, Portage, MI 49024-7430 |
| Akwi W Asombang | Gastroenterology | Bronson Methodist Hospital | 3304 Cooley Ct, Portage, MI 49024-7430 |
| Alexandra Marie Harris | Nurse Practitioner | Bronson Methodist Hospital | 3304 Cooley Ct, Portage, MI 49024-7430 |
| Cynthia W Jubenville | Clinical Social Worker | Bronson Methodist Hospital | 3304 Cooley Ct, Portage, MI 49024-7430 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael David Mccallister | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Christine A Berry | Audiologist | Three Rivers Health System Inc | 3850 Glenkerry Ct, Portage, MI 49024-0700 |
| Michael T Kolinski | Osteopathic Manipulative Medicine | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Matthew Lars Kuiper | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Alessandra R Chatson | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Barton W Wild | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Laythen Young | Physical Therapy | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Thomas Raymond Ulrich | Physician Assistant | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Joel L Bez | Pain Management | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Nancy Ambs | Nurse Practitioner | Southern Michigan Pain Consultants PC | 3770 Glenkerry Ct, Portage, MI 49024-0700 |
| Find all physicians in zip 49024 | |||
| City | PORTAGE |
| Zip Code | 49024 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | PORTAGE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Sandra S Blix.
| 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.