SOUTHEAST MICHIGAN ANESTHESIA GROUP PLLC (NPI# 1417403866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417403866 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST MICHIGAN ANESTHESIA GROUP PLLC |
| Practice Address |
13530 Michigan Ave Suite 100 Dearborn MI 48126-3574 |
| Practice Telephone | 3135827777 |
| Mailing Telephone | 3135827777 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |
| Authorized Official Name | FATINA MASRI (CEO) |
| Authorized Official Telephone | 3135827777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
13530 MICHIGAN AVE SUITE 100 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-3574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225020043 | Manijeh Shafiemir | Optometrist | 13530 Michigan Ave, Dearborn, MI 48126-3574 | 2005-08-17 |
| 1437776689 | Neurospine Coverage Pllc | Psychiatry & Neurology | 13530 Michigan Ave, Dearborn, MI 48126-3574 | 2020-07-02 |
| 1831758358 | Bashir D Tarraf | Optometrist | 13530 Michigan Ave, Dearborn, MI 48126-3574 | 2019-06-08 |
| 1538694054 | Hs Management LLC | Clinic/Center | 13530 Michigan Ave, Ground Floor, Dearborn, MI 48126-3574 | 2017-04-21 |
| 1457882888 | Michigan Specialty Clinic Pllc | Clinical Medical Laboratory | 13530 Michigan Ave, Suite L2, Dearborn, MI 48126-3574 | 2017-03-27 |
| 1902347529 | Nextgen Diagnostics LLC | Radiology | 13530 Michigan Ave, Ste 101, Dearborn, MI 48126-3574 | 2017-03-15 |
| 1790226314 | Nextgen Pain Associates & Rehabilitation LLC | Clinic/Center | 13530 Michigan Ave, Ste 310, Dearborn, MI 48126-3574 | 2017-03-15 |
| 1487192662 | Healthcare Durable Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 13530 Michigan Ave, Suite L2, Dearborn, MI 48126-3574 | 2017-02-07 |
| 1063964609 | Nextgen Rehab LLC | Pain Medicine | 13530 Michigan Ave, Suite 310, Dearborn, MI 48126-3574 | 2016-10-31 |
| 1851842157 | Dearborn Pain Specialists, Plc | Pain Medicine | 13530 Michigan Ave, Suite 245, Dearborn, MI 48126-3574 | 2016-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649527128 | Mohamed Rida Alsaden | Anesthesiology | 23028 Park St, Dearborn, MI 48124-2649 | 2012-08-14 |
| 1417259029 | Lynne Katrene Pippin | Anesthesiology | 23725 Camp Pawnee Rd, Dearborn, MO 64439-9424 | 2010-12-02 |
| 1184832362 | Walid Aref Osta | Anesthesiology | 3845 Monroe St, Dearborn, MI 48124-4607 | 2007-05-19 |
| 1033272224 | Heather Assad Zacur | Anesthesiology | 24327 Ford Rd, Dearborn, MI 48128-1129 | 2006-12-18 |
| 1730508276 | Jay Carl Robinson II | Anesthesiology | 18101 Oakwood Blvd, Anesthesia Department, Dearborn, MI 48124 | 2014-04-14 |
| 1154766046 | Brandon Gene Claxton | Anesthesiology | 18101 Oakwood Blvd, Anesthesia Department, Dearborn, MI 48124 | 2013-05-06 |
| 1932442936 | Fadi Shihadeh | Anesthesiology | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2013-03-28 |
| 1306139001 | Mitali Shah Roblin | Anesthesiology | 18101 Oakwood Blvd, Beaumont Hospital & Medical Center - Dearborn, Dearborn, MI 48124-4089 | 2011-05-27 |
| 1205152725 | Matthew James Dellaquila | Anesthesiology | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2010-04-08 |
| 1255595922 | Wagdy Maher Sidrak | Anesthesiology | 18101 Oakwood Blvd, Oakwood Hospital and Medical Center, Dearborn, MI 48124-4089 | 2008-07-11 |
| Find all providers in DEARBORN | ||||
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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.