MICHELLE LOUISE KNOBLOCK


Address: 1560 E Maple Rd Ste 100, Troy, MI 48083
Phone: 2488583023

MICHELLE LOUISE KNOBLOCK (NPI# 1356782411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356782411
Entity Type Individual
Full Name MICHELLE LOUISE KNOBLOCK
Other Name MICHELLE LOUISE HATTEN
Credential CRNA
Practice Address 1560 E Maple Rd Ste 100
Troy
MI 48083
Mailing Address 1560 E Maple Rd Ste 100
Troy
MI 48083-1135
Practice Telephone 2488583023
Mailing Telephone 2488583023
Enumeration Date 2013-07-17
Last Update Date 2018-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 4704296294 MI Physician Assistants & Advanced Practice Nursing Providers
N 367500000X Nurse Anesthetist, Certified Registered 0024171003 VA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
600 Gresham Dr, Norfolk, VA 235071904 7574730055 7574730075

Office Location

Street Address 1560 E MAPLE RD STE 100
City TROY
State MI
Zip Code 48083

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417420449 Thapasvi Muttirevula Physical Therapist 2422 Cedar Knoll Dr, Troy, MI 48083 2019-01-02
1114418290 Ann Katchke Physical Therapist 3179 Livernois Rd, Troy, MI 48083 2018-05-23
1518485945 Risa Rae Mendelson Counselor 1059 Owendale Street, Troy, MI 48083 2017-09-06
1497277115 Gassan Asadi Pharmacist 215 E Big Beaver Rd Ste 500, Troy, MI 48083 2017-07-14
1528510328 Dylan Skye Polasko Behavioral Analyst 2221 E 4th St, #101, Troy, MI 48083 2016-10-27
1235683061 Sadia Ghazi Technician, Other 3178 Daley Dr., Troy, MI 48083 2016-08-10
1548664345 Amber Leigh Ernst Social Worker 1225 E. Big Beaver Road, Troy, MI 48083 2014-10-22
1437400728 Oakland Physicians Surgery Center Clinic/Center 1560 E. Maple Road, Suite 100, Troy, MI 48083 2012-09-26
1861748238 Pro Med Substance Abuse Program LLC Psychologist 2891 E. Maple Rd. Suite 200, Troy, MI 48083 2012-08-03
1104102227 Jerry Keith Oermann Psychologist 2221 Livernois Rd., Ste. 101, Troy, MI 48083 2011-11-03
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295226579 Jeffrey Paul Biehl Nurse Anesthetist, Certified Registered 44249 Dequindre Rd., Troy, MI 48085 2018-05-23
1124340989 Devone Jabara Nurse Anesthetist, Certified Registered 130 Town Center Drive Ste. 203, Payor Contract Services, Troy, MI 48083-1103 2010-02-22
1013249945 Cmm Tri-county Anesthesia Staffing Services, LLC Nurse Anesthetist, Certified Registered 64 Starr Dr, Troy, MI 48083-1646 2010-02-03
1194056093 Carol Ann Slazinik Nurse Anesthetist, Certified Registered 8634 Blackjack Hollow Ln, Troy, IL 62294 2010-01-18
1669588620 Carol C Richardson Nurse Anesthetist, Certified Registered 4550 Investment Dr Ste 100, Troy, MI 48098-6334 2006-08-22
1104861087 Gregory J Golen Nurse Anesthetist, Certified Registered 1301 W Long Lake Rd, Suite 237, Troy, MI 48098-6328 2006-06-17
1437108867 Sherly C Jacob Nurse Anesthetist, Certified Registered 44201 Dequindre Road, Troy, MI 48085-1117 2006-05-10
1285600288 Jean Bergin Nurse Anesthetist, Certified Registered 44201 Dequindre, 400 Fsc - PCs, Troy, MI 48085-1198 2006-02-28
1467451021 Michael T Phelan Nurse Anesthetist, Certified Registered 2215 Burdett Avenue, Samaritan Hospital, Troy, NY 12180 2005-07-18
1295731560 Sandra K Flemming-kottman Nurse Anesthetist, Certified Registered 1000 E Cherry St, Troy, MO 63379-1513 2005-06-22
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City TROY
Zip Code 48083

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Dataset Information

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.

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