NPIMap

Organization Active NPI

Henry Ford Health System

Doing business as Henry Ford Cottage Hospital Anesthesia

  • Anesthesiology Physician
  • Grosse Pointe Farms, MI
National Provider Identifier
1023297207
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
HENRY FORD HEALTH SYSTEM
Doing business as
Henry Ford Cottage Hospital Anesthesia
Practice address
159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610
Phone
(313) 640-1000
NPI assigned
Oct 24, 2007
Last updated
Mar 6, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
HENRY FORD HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Mark Smith
Title
SVP. Cmo
Phone
(517) 205-6407

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610

Mailing address

159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610
Phone (313) 640-1000

Other names 1

  • Henry Ford Cottage Hospital Anesthesia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chery Veeck158 organizations share this tax ID, including this one
Part of
Chery Veeck

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1023297207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 KERCHEVAL AVE",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363610",
            "telephone_number": "313-640-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 KERCHEVAL AVE",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363610",
            "telephone_number": "313-640-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENRY FORD HEALTH SYSTEM",
        "enumeration_date": "2007-10-24",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SVP. CMO",
        "authorized_official_telephone_number": "517-205-6407"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Cottage Hospital Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grosse Pointe Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.