Active NPI
Samuel Michael-Gaines McCarthy, CRNA
- Certified Registered Nurse Anesthetist
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704252029
- Practice address
- 401 W Greenlawn Ave
Lansing, MI 48910-2819 - Phone
- (517) 975-7295
- NPI assigned
- Jun 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704252029 | MI | Primary |
Addresses
Primary practice location
401 W Greenlawn Ave
Lansing, MI 48910-2819
Mailing address
401 W Greenlawn Ave
Lansing, MI 48910-2819
Phone (517) 975-7295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Michigan State University College of Human Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704252029 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Area Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Michigan II PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
2727 S Pennsylvania Ave
Lansing, MI 48910
Phone (517) 975-3750
2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500
26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500
Organizations & group practices 2
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.
-
- Pain Medicine (Anesthesiology) Physician
- Okemos, MI
- NPI 1538105010
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
MI, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1134104672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1083900138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W GREENLAWN AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489102819",
"telephone_number": "517-975-7295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W GREENLAWN AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489102819",
"telephone_number": "517-975-7295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "SAMUEL",
"middle_name": "MICHAEL-GAINES",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-27",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704252029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.