Organization Active NPI

JPS Anesthesia LLC

  • Anesthesiology Physician
  • Flint, MI
National Provider Identifier
1114485703
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
JPS ANESTHESIA LLC
Practice address
5302 Gateway Ctr
Flint, MI 48507-3930
Phone
(248) 396-8109
NPI assigned
Mar 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Authorized official

Name
Kyle Nieporte
Title
Admin
Phone
(248) 396-8109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

5302 Gateway Ctr
Flint, MI 48507-3930

Mailing address

5302 Gateway Ctr
Flint, MI 48507-3930
Phone (248) 396-8109

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1114485703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 GATEWAY CTR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073930",
            "telephone_number": "248-396-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 GATEWAY CTR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073930",
            "telephone_number": "248-396-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPS ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "NIEPORTE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "248-396-8109"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.