GREAT LAKES ANESTHESIA CONSULTANTS PLLC (NPI# 1609142447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609142447 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES ANESTHESIA CONSULTANTS PLLC |
| Practice Address |
7901 Angling Rd Portage MI 49024-0714 |
| Mailing Address |
Po Box 19 Nazareth MI 49074-0019 |
| Practice Telephone | 2693248406 |
| Mailing Telephone | 9413601566 |
| Mailing Fax Number | 9413589818 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-04-30 |
| Authorized Official Name | BRIJ M. DEWAN (MEMBER) |
| Authorized Official Telephone | 2693248406 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
7901 ANGLING RD |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-0714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497724751 | Teresa Bailey Klepser | Pharmacist | 7901 Angling Rd, Portage, MI 49024-0714 | 2006-03-17 |
| 1114551777 | Kelsey Lankford | Nurse Practitioner | 7901 Angling Rd, Portage, MI 49024-0714 | 2020-02-23 |
| 1023642683 | April Klavinger | Nurse Practitioner | 7901 Angling Rd, Portage, MI 49024-0714 | 2020-02-23 |
| 1477081685 | Dalal Ghossein Kassir | Family Medicine | 7901 Angling Rd, Portage, MI 49024-0714 | 2017-06-01 |
| 1063886505 | Pamela Bartley | Physician Assistant | 7901 Angling Rd, Portage, MI 49024-0714 | 2015-11-20 |
| 1689056376 | Kristen Marie Moran | Physician Assistant | 7901 Angling Rd, Portage, MI 49024-0714 | 2015-06-18 |
| 1235546722 | Katherine Mclellan Patil | Nurse Practitioner | 7901 Angling Rd, Portage, MI 49024-0714 | 2014-07-16 |
| 1669744660 | Pamela M Bryant | Nurse Practitioner | 7901 Angling Rd, Portage, MI 49024-0714 | 2012-02-07 |
| 1326326190 | Megan N Pelc | Physician Assistant | 7901 Angling Rd, #1, Portage, MI 49024-0714 | 2011-07-28 |
| 1083901342 | Francesca Rose Mcqueen | Emergency Medicine | 7901 Angling Rd, Portage, MI 49024-0714 | 2011-07-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| 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 |
|---|---|---|---|---|
| 1790318475 | Kalamazoo Endo Center LLC | Anesthesiology | 3300 Cooley Ct, Portage, MI 49024-7430 | 2020-02-20 |
| 1558657346 | Sheel A Patel | Anesthesiology | 3630 Willowcreek Rd Ste 9, Portage, IN 46368-5075 | 2011-06-21 |
| 1821060427 | Joel Lawrence Bez | Anesthesiology | 3770 Glenkerry Court, Portage, MI 49024 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940670 | Paragon Anesthesia Pllc | Anesthesiology | 1144 Brookwood St, Birmingham, MI 48009-1010 | 2020-10-19 |
| 1497394712 | Universal Anesthesia Services Pllc | Anesthesiology | 2700 S Rochester Rd Ste B, Rochester Hills, MI 48307-4547 | 2020-01-03 |
| 1023659802 | Edward W Sparrow Hospital Association | Anesthesiology | 1200 E Michigan Ave Ste 101, Lansing, MI 48912-1800 | 2019-10-03 |
| 1174039184 | Zaki Anesthesia Pllc | Anesthesiology | 350 N Main St Unit 818, Royal Oak, MI 48067-4126 | 2017-12-28 |
| 1508378027 | Anesthesia Associates of Grand Rapids, Pllc | Anesthesiology | 200 Jefferson Ave., Se, Grand Rapids, MI 49503 | 2017-10-25 |
| 1396292322 | American Medical Center Group Pllc | Anesthesiology | 20905 Greenfield Rd Ste 603m, Southfield, MI 48075-5355 | 2016-09-07 |
| 1033562889 | Meagan Mcdavid | Anesthesiology | 4201 Saint Antoine St Dept Of, Detroit, MI 48201-2153 | 2016-07-18 |
| 1316303589 | Elite Anesthesia Services, Pllc | Anesthesiology | 8765 Clark Rd, Grand Ledge, MI 48837-9283 | 2016-01-04 |
| 1689051989 | Heriberto Juarez | Anesthesiology | 1848 E Sherman Blvd Ste Y, Muskegon, MI 49444-1963 | 2015-05-06 |
| 1750776845 | Robert Joslin | Anesthesiology | 2262 Preserve Ln, Rochester Hills, MI 48309-4729 | 2015-04-06 |
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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.