Karl Thulin, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704114462 Issued in MI

Practice address

44201 Dequindre Rd
Anesthesia
Troy, MI 48085-1117

Phone

(248) 577-3521

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beaumont Macomb Township ASC, LLC

  • Certified Registered Nurse Anesthetist
  • Macomb, MI
  • NPI 1184746463

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Beaumont West Bloomfield ASC LLC

  • Certified Registered Nurse Anesthetist
  • W Bloomfield, MI
  • NPI 1275790206

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1033178397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 STEPHENSON HWY",
            "address_2": "WILLIAM BEAUMONT HOSPITAL",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831103",
            "telephone_number": "248-577-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44201 DEQUINDRE RD",
            "address_2": "ANESTHESIA",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851117",
            "telephone_number": "248-577-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THULIN",
        "first_name": "KARL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704114462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2734481",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "430F364420",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Elisha Thompson, OD
• Stacy Delores Thompson, CMT, CLD, CCCE
• Janice Thorson
• Paul Thottakara
• Thrive Chiropractic LLC
• Dawn Thurmond
• Kristin Anne Thurston, PA
• Aaron James Tice, PA-C
• Patricia Lynn Tieman, PMHNP
• Daniel Alexander Tim, M.D.

• Certified Registered Nurse Anesthetist in Troy, MI
• Providers in Troy, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.