Gregg Michael Hernisey, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Pigeon, MI
NPI 1083714935 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083714935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 4704184895 (MI)
- Practice address
- 170 N Caseville Rd
Pigeon, MI 48755-9704 - Phone
- (989) 453-3223
- Fax
- (989) 453-4454
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704184895 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scheurer Hospital | Past | Accepting new patients | |
| McLaren Caro Region | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704184895 | MI | Yes |
Addresses
Primary practice location
170 N Caseville Rd
Pigeon, MI 48755-9704
Mailing address
170 N Caseville Rd
Pigeon, MI 48755-9704
Phone (989) 453-3223
Other providers in Pigeon, MI
- Sity Milad Girgis
- H & J Corp.
- Jerry Hall
- Laurey R Hanselman
- Ann Marie Harder
- Sherrie Hernisey
- Cynthia Susanne Herrin
- Katelyn Holmes
- Bryan Houser
- Karen Lee Iseler
All providers in Pigeon, MI · Certified Registered Nurse Anesthetist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.