NPIMap

Organization Active NPI

Garden City Hospital

  • Certified Registered Nurse Anesthetist
  • Garden City, MI
National Provider Identifier
1023052420
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
GARDEN CITY HOSPITAL
Practice address
6245 Inkster Rd
Garden City, MI 48135-4001
Phone
(734) 458-1200
NPI assigned
Jun 15, 2006
Last updated
Nov 16, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
GARDEN CITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Timothy Jodway
Title
Vice President & Cfo
Phone
(734) 458-4642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X Primary

Addresses

Primary practice location

6245 Inkster Rd
Garden City, MI 48135-4001

Mailing address

6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 458-1200

Other identifiers 4

IdentifierTypeStateIssuer
430Q262800OtherMIBCBS
OP821374OtherMIMCARE
7222220OtherMIAETNA
368375801OtherMIUSDOL

Other names 1

  • Garden City Hospital - CRNA Other name

National Provider Directory

National Provider Directory
Part of
Garden City Osteo Hosp

Locations

3889 Solutions Ctr
Chicago, IL 60677

Interoperability endpoints

  • FHIR API: https://phsfhir.primehealthcare.com/PHS-PRD-FHIR/api/FHIR/R4

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1023052420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481354001",
            "telephone_number": "734-458-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481354001",
            "telephone_number": "734-458-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN CITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARDEN CITY HOSPITAL",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "JODWAY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "734-458-4642"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "430Q262800",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "OP821374",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7222220",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDOL",
            "identifier": "368375801",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden City Hospital - CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.