STARWOOD PRECISION ANESTHESIA PLLC (NPI# 1578943247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578943247 |
| Entity Type | Organization |
| Organization Name | STARWOOD PRECISION ANESTHESIA PLLC |
| Practice Address |
13460 Fort St Southgate MI 48195-1138 |
| Mailing Address |
Po Box 1055 Southgate MI 48195-0055 |
| Practice Telephone | 8885512288 |
| Practice Fax Number | 8887706360 |
| Mailing Telephone | 8885512288 |
| Mailing Fax Number | 8887706360 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |
| Authorized Official Name | ATIF BAWAHAB (ADMIN) |
| Authorized Official Telephone | 9795747109 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13460 FORT ST |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457745150 | Strategy Anesthesia Michigan Pllc | Pain Medicine | 13460 Fort St, Southgate, MI 48195-1138 | 2015-03-20 |
| 1689046070 | Southgate Allied Anesthesia Pllc | Anesthesiologist Assistant | 13460 Fort St, Southgate, MI 48195-1138 | 2015-10-24 |
| 1124402607 | Interventional Pain Specialists of Michigan Pllc | Pain Medicine | 13460 Fort St, Southgate, MI 48195-1138 | 2015-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689046070 | Southgate Allied Anesthesia Pllc | Anesthesiologist Assistant | 13460 Fort St, Southgate, MI 48195-1138 | 2015-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205454998 | Andrea Mantel | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2020-07-08 |
| 1316586381 | Keith Minbiole | Anesthesiologist Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-12-23 |
| 1427697499 | Alexander Linkner | Anesthesiologist Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-12-23 |
| 1811541774 | Skylar Bayer | Anesthesiologist Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-07-30 |
| 1659834562 | Kevin Sistani | Anesthesiologist Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503 | 2019-04-08 |
| 1497217335 | Nicholas Simpson | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2019-04-01 |
| 1841796752 | Mason Fisher | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2018-04-02 |
| 1134645963 | Meghan Fowler | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2017-08-14 |
| 1396150066 | Ina Stashonsky | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2014-06-21 |
| 1205240090 | Louisa Rankin | Anesthesiologist Assistant | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2014-06-19 |
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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.