MR. LUCAS ALAN GRAVELYN (NPI# 1528337375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528337375 |
| Entity Type | Individual |
| Full Name | MR. LUCAS ALAN GRAVELYN |
| Credential | CRNA |
| Practice Address |
900 Peeler St Kalamazoo MI 49008-2300 |
| Mailing Address |
351 Horseshoe Ct Plainwell MI 49080-9147 |
| Practice Telephone | 2693458618 |
| Practice Fax Number | 2693451508 |
| Mailing Telephone | 6163041424 |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2017-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704255424 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
900 PEELER ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49008-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699754820 | Mary E Koterba | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2006-01-16 |
| 1659971034 | Ethan John Chupka | Registered Nurse | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2020-10-27 |
| 1396342945 | Janette Gustafson | Registered Nurse | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2020-10-07 |
| 1316544430 | Eric J Johnson | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2020-10-01 |
| 1295341469 | Remi Lynn Brackett | Registered Nurse | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2020-09-22 |
| 1508482910 | Chad William Pitock | Registered Nurse | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2020-06-22 |
| 1871132654 | Timothy Paul Mccoy | Registered Nurse | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2019-12-27 |
| 1578101937 | John Thomas Kallas | Registered Nurse | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2019-12-17 |
| 1558903567 | Frank Andrew Schymik | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2019-10-10 |
| 1639721095 | Andrew Cooper | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847534 | Theresa Anne Aranda | Pharmacist | 3016 S Westendge Ave, Kalamazoo, MI 49008 | 2020-07-01 |
| 1336615830 | Jonathon Strefling | Physical Therapist | 165 N. Washington Ave, Battle Creek, MI 49008 | 2018-10-23 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1396195863 | Kyle Bronsteen | Student in an Organized Health Care Education/Training Program | Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 | 2016-06-15 |
| 1013363449 | Gwendolyn Layette Moore | Home Health Aide | 4441 Old Colony Road, Kalamazoo, MI 49008 | 2016-05-04 |
| 1982008066 | Danah Kim | Dentist | 3130 N Westnedge Ave., Kalamazoo, MI 49008 | 2014-10-17 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1831508548 | D2 Dental of Michigan, P.C. | Dentist | 3130 S Westnedge Avenue, Kalamazoo, MI 49008 | 2014-08-06 |
| 1558784330 | Maureen Brown | Pharmacist | 5121 S. Westnedge Ave, Kalamazoo, MI 49008 | 2014-01-29 |
| Find all providers in zip 49008 | ||||
| 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 |
|---|---|---|---|---|
| 1013000462 | Tamara Heaston | Nurse Anesthetist, Certified Registered | 900 Peeler St Ste B, Kalamazoo, MI 49008-2380 | 2006-09-30 |
| 1699754820 | Mary E Koterba | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2006-01-16 |
| 1316544430 | Eric J Johnson | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2020-10-01 |
| 1558903567 | Frank Andrew Schymik | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2019-10-10 |
| 1639721095 | Andrew Cooper | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2019-07-15 |
| 1013484153 | Joseph Aikens | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2018-10-26 |
| 1356841738 | Jonathan Dale Hasseler | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2018-02-13 |
| 1235675455 | Jacob Todd Alberda | Nurse Anesthetist, Certified Registered | 900 Peeler St Ste B, Kalamazoo, MI 49008-2380 | 2017-01-11 |
| 1689119679 | Alyssa Krudy-newby | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2016-12-29 |
| 1538604772 | Trent Herman | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2016-12-26 |
| Find all providers in KALAMAZOO | ||||
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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.