Organization Active NPI

CMM Tri-County Anesthesia Staffing Services, LLC

  • Certified Registered Nurse Anesthetist
  • Troy, MI
National Provider Identifier
1013249945
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704232638 Issued in MI
Legal business name
CMM TRI-COUNTY ANESTHESIA STAFFING SERVICES, LLC
Practice address
64 Starr Dr
Troy, MI 48083-1646
Phone
(248) 470-9986
Fax
(734) 241-0014
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Christopher Youst, CRNA
Title
Partner
Phone
(248) 470-9986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 4704232638 MI Primary

Addresses

Primary practice location

64 Starr Dr
Troy, MI 48083-1646

Mailing address

5623 E Dunbar Rd
Monroe, MI 48161-9127
Phone (734) 241-3891

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1013249945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5623 E DUNBAR RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619127",
            "telephone_number": "734-241-3891",
            "fax_number": "734-241-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 STARR DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831646",
            "telephone_number": "248-470-9986",
            "fax_number": "734-241-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMM TRI-COUNTY ANESTHESIA STAFFING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "YOUST",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "248-470-9986",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704232638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.