HENRY FORD MACOMB HOSPITAL CORPORATION (NPI# 1073844106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073844106 |
| Entity Type | Organization |
| Organization Name | HENRY FORD MACOMB HOSPITAL CORPORATION |
| Other Organization Name | HENRY FORD MACOMB-WARREN CAMPUS CRNA |
| Practice Address |
13355 E 10 Mile Rd Warren MI 48089-2048 |
| Practice Telephone | 5867597480 |
| Mailing Telephone | 5867597480 |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2010-01-29 |
| Authorized Official Name | RAND O'LEARY (VP CLINICAL SUPPORT SERVICES) |
| Authorized Official Telephone | 5867597480 |
| Is Organization Subpart | Y |
| Parent Organization Name | HENRY FORD MACOMB HOSPITAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Henry Ford Macomb-Warren Campus CRNA | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437532959 | Henry Ford Macomb Hospital Corporation | Clinic/Center | 155 Cass Ave, Mount Clemens, MI 48043-2203 | 2015-07-01 |
| 1225171218 | Henry Ford Macomb Hospital Corporation | Counselor | 43411 Garfield Rd, Clinton Township, MI 48038-1152 | 2007-02-15 |
| 1902842735 | Henry Ford Macomb Hospital Corporation | General Acute Care Hospital | 13355 East 10 Mile Rd, Warren, MI 48089-2048 | 2006-06-21 |
| 1912301094 | Henry Ford Macomb Hospital Corporation | Nurse Practitioner | 1 Ford Pl, Suite 2e, Detroit, MI 48202-3450 | 2014-10-17 |
| 1124421888 | Henry Ford Macomb Hospital Corporation | Physician Assistant | 1 Ford Pl, Suite 2e, Detroit, MI 48202-3450 | 2014-10-08 |
| 1790069714 | Henry Ford Macomb Hospital Corporation | Orthopaedic Surgery | 15520 19 Mile Rd, Suite 430, Clinton Township, MI 48038-6333 | 2011-10-10 |
| 1205060076 | Henry Ford Macomb Hospital Corporation | Clinic/Center | 80650 Van Dyke Rd, Bruce Twp, MI 48065-1333 | 2009-05-08 |
| 1568643195 | Henry Ford Macomb Hospital Corporation | Rehabilitation, Substance Use Disorder Unit | 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | 2007-11-26 |
| 1194869107 | Henry Ford Macomb Hospital Corporation | Clinical Neuropsychologist | 43411 Garfield Rd, Clinton Township, MI 48038-1152 | 2007-02-16 |
| 1003950015 | Henry Ford Macomb Hospital Corporation | Psychiatry & Neurology | 43411 Garfield Rd, Clinton Township, MI 48038-1152 | 2007-02-16 |
| Street Address |
13355 E 10 MILE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48089-2048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790774131 | Lynette M Sutkowi Toomajian | Internal Medicine | 13355 E 10 Mile Rd, Suite 110, Warren, MI 48089-2048 | 2005-10-18 |
| 1518284645 | Charlie Lloyd Hilton | Student in an Organized Health Care Education/Training Program | 13355 E 10 Mile Rd, Warren, MI 48089-2048 | 2010-04-29 |
| 1043534720 | Bi County Medical Practices | Surgery | 13355 E 10 Mile Rd, Suite 200, Warren, MI 48089-2048 | 2010-03-24 |
| 1922322601 | Bi County Medical Practices | Internal Medicine | 13355 E 10 Mile Rd, Suite 110, Warren, MI 48089-2048 | 2010-03-24 |
| 1659695336 | Bi County Medical Practices | Pediatrics | 13355 E 10 Mile Rd, Suite 229, Warren, MI 48089-2048 | 2010-03-24 |
| 1386968063 | Bi County Medical Practices | Family Medicine | 13355 E 10 Mile Rd, Suite 229, Warren, MI 48089-2048 | 2010-03-24 |
| 1770814964 | Corrine Joyce Kruse | Nurse Practitioner | 13355 E 10 Mile Rd, Warren, MI 48089-2048 | 2010-01-27 |
| 1932437274 | Maria L Benson | Nurse Anesthetist, Certified Registered | 13355 E 10 Mile Rd, Warren, MI 48089-2048 | 2009-11-25 |
| 1043440308 | Samuel I Martisius | Emergency Medicine | 13355 E 10 Mile Rd, Warren, MI 48089-2048 | 2009-07-21 |
| 1891922530 | Christina Leo | Student in an Organized Health Care Education/Training Program | 13355 E 10 Mile Rd, Warren, MI 48089-2048 | 2009-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184414 | Delaine Armstong | Pharmacist | 13488 E. 11 Mile Road, Warren, MI 48089 | 2020-01-29 |
| 1679118236 | Good N Plenty Rx LLC | Pharmacy | 22260 Van Dyke Avenue, Warren, MI 48089 | 2019-11-07 |
| 1508367111 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 25225 Schoenherr Rd, Warren, MI 48089 | 2018-02-28 |
| 1932624970 | Jessica D Johnston | Social Worker | 11415 Metter Ave, Warren, MI 48089 | 2017-08-10 |
| 1508222944 | Dinas Kamaitis | Non-emergency Medical Transport (VAN) | 14560 E 10 Mile, 13993 10 Mile, Warren, MI 48089 | 2016-01-14 |
| 1770837296 | Michigan Home Exteriors | Durable Medical Equipment & Medical Supplies | 11444 Kaltz Ave, Warren, MI 48089 | 2012-11-06 |
| 1407100142 | Brenda Tringali | Social Worker | 12220 E 13 Mile, Warren, MI 48089 | 2012-11-02 |
| 1154606838 | Binary Therapy Alliance,inc | Home Health | 26105 Regency Club Lane, 8, Warren, MI 48089 | 2011-10-13 |
| 1396920443 | Ron Zachariah | Physical Therapist | Horizon Medical Building, 13251 E Ten Mile Road Suite 400, Warren, MI 48089 | 2008-01-08 |
| 1053500173 | Anemaecore Abadejos Brodith | Physical Therapist | 26000 Hoover Rd Ste 101, Warren, MI 48089 | 2007-10-15 |
| Find all providers in zip 48089 | ||||
| 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.