Active NPI
Shane O'Toole, MD
- Anesthesiology Physician
- Pontiac, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301504692
- Practice address
- 50 N Perry St
Pontiac, MI 48342-2217 - Phone
- (248) 338-5392
- NPI assigned
- Apr 17, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301504692 | MI | Primary |
Addresses
Primary practice location
50 N Perry St
Pontiac, MI 48342-2217
Mailing address
50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 W University Dr
Crittenton Hospital Medical Center
Rochester, MI 48307-1863
Phone (248) 652-5000
11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5000
2775 Blake Rd
Jackson, MI 49201-8838
Phone (517) 787-2906
401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000
50 N Perry St
McLaren Oakland
Pontiac, MI 48342-2217
Phone (248) 338-5000
Hospital & facility affiliations
- McLaren Bay Region
- McLaren Flint
- Henry Ford Health Warren Hospital
- McLaren Oakland
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Services Associates, PC | Anesthesiology | Current | Accepting new patients |
Locations
2775 Blake Rd
Jackson, MI 49201
Phone (517) 787-2906
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
432 W University Dr
Rochester, MI 48307
Phone (248) 651-6122
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Lapeer, MI
- NPI 1497797153
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
-
- General Acute Care Hospital
- Bay City, MI
- NPI 1528031226
-
- General Acute Care Hospital
- Flint, MI
- NPI 1902894512
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1376564088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1114580099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 N PERRY ST",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483422217",
"telephone_number": "248-338-5392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N PERRY ST",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483422217",
"telephone_number": "248-338-5392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'TOOLE",
"first_name": "SHANE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-17",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301504692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.