Active NPI
Peter Montrie, CRNA
- Certified Registered Nurse Anesthetist
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Practice address
- 4201 Saint Antoine St
Detroit, MI 48201-2153 - Phone
- (952) 442-9770
- NPI assigned
- Dec 23, 2005
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | MI | Primary |
Addresses
Primary practice location
4201 Saint Antoine St
Detroit, MI 48201-2153
Mailing address
Dept 203401
PO Box 67000
Detroit, MI 48267-0001
Phone (952) 442-9770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PM232769 | Other | MI | BLUE CROSS OF MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Wayne State University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2130 W Central Ave
Toledo, OH 43606-3834
Phone (419) 291-4590
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000
2801 Bay Park Dr
Oregon, OH 43616-4920
Phone (419) 690-7709
2901 N Reynolds Rd
Toledo, OH 43606
Phone (419) 578-7700
5200 Harroun Rd
Sylvania, OH 43560-2168
Phone (419) 824-1444
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 470432769 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Current | Accepting new patients | |
| Northstar Anesthesia of Ohio LLC | Current | Accepting new patients | |
| Mercy Medical Partners Northern Region LLC | Current | Accepting new patients | |
| Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Promedica Central Physicians | Current | Accepting new patients | |
| Mercy Medical Partners Northern Region LLC | Current | Accepting new patients |
Locations
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414
2615 E High St
Springfield, OH 45505
Phone (888) 861-3994
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283
5085 Monroe St
Ste B
Toledo, OH 43623
Phone (419) 407-2439
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
-
- Multi-Specialty Clinic/Center
- Defiance, OH
- NPI 1669756532
-
- Anesthesiology Physician
- Springfield, OH
- NPI 1417276429
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1588645188
Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Napoleon, OH
- NPI 1710405808
-
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oregon, OH
- NPI 1598765539
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144207895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 203401",
"address_2": "PO BOX 67000",
"city": "DETROIT",
"state": "MI",
"postal_code": "482670001",
"telephone_number": "952-442-9770",
"fax_number": "952-442-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "952-442-9770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTRIE",
"first_name": "PETER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MI",
"identifier": "PM232769",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.