MR. KEVIN SISTANI


Address: 100 Michigan St Ne, Grand Rapids, MI 49503
Phone: 6163644200

MR. KEVIN SISTANI (NPI# 1659834562) 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) 1659834562
Entity Type Individual
Full Name MR. KEVIN SISTANI
Credential A.A.
Practice Address 100 Michigan St Ne
Grand Rapids
MI 49503
Mailing Address 3333 Evergreen Dr Ne
Grand Rapids
MI 49525-9493
Practice Telephone 6163644200
Practice Fax Number 6163647347
Mailing Telephone 6163644200
Mailing Fax Number 6163647347
Enumeration Date 2019-04-08
Last Update Date 2019-09-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367H00000X Anesthesiologist Assistant 28513167 MI Physician Assistants & Advanced Practice Nursing Providers
N 367H00000X Anesthesiologist Assistant MO Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
615 S New Ballas Rd Dept Of, Saint Louis, MO 631418221 3142516000

Office Location

Street Address 100 MICHIGAN ST NE
City GRAND RAPIDS
State MI
Zip Code 49503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922001668 Surender Rajasekaran Anesthesiology 100 Michigan St Ne, Mc 117, Grand Rapids, MI 49503-2560 2005-05-26
1710587415 Mara S Brown Registered Nurse 100 Michigan St Ne, Grand Rapids, MI 49503-2560 2020-10-30
1033718044 Anh Thi Mai Huynh Student in an Organized Health Care Education/Training Program 100 Michigan St Ne, Grand Rapids, MI 49503-2560 2020-10-21
1427687201 Kayla Renee Smith Student in an Organized Health Care Education/Training Program 100 Michigan St Ne, Grand Rapids, MI 49503-2560 2020-04-03
1407487424 Jessica B Doorn Dietitian, Registered 100 Michigan St Ne, Grand Rapids, MI 49503-2560 2020-01-29
1649810391 Olivia Lauren Presnell Physician Assistant 100 Michigan St Ne, Grand Rapids, MI 49503-2560 2020-01-10
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
1619514593 Louise Mcwhirter Anesthesiology 100 Michigan St Ne, Grand Rapids, MI 49503-2560 2019-12-10
1316584915 Professional Treatment Solutions PC Anesthesiology 100 Michigan St Ne, Grand Rapids, MI 49503-2560 2019-12-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
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Taxonomy Information

Taxonomy Code 367H00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Anesthesiologist Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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
1336403823 Mark Allen Hoogerhyde Anesthesiologist Assistant 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 2012-06-28
1851679807 Landon L Lapham Anesthesiologist Assistant 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 2011-07-25
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49503

Improve Information

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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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