Active NPI
Stephen Stawicki, CRNA
- Certified Registered Nurse Anesthetist
- Pontiac, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704237563
- Practice address
- 44405 Woodward Ave
Pontiac, MI 48341 - Phone
- (248) 858-6593
- NPI assigned
- Oct 5, 2006
- 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 | 4704237563 | MI | Primary |
Addresses
Primary practice location
44405 Woodward Ave
Pontiac, MI 48341
Mailing address
255 W Michigan Ave
Jackson, MI 49201
Phone (517) 787-6440
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
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 987-5000
44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 585-3023
Hospital & facility affiliations
- Trinity Health Oakland Hospital
- McLaren Macomb
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.5 of 100
- Quality
- 58.12
- Improvement activities
- 40
- Cost
- 68.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704237563 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health St. John Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Waterford Anesthesia, PLLC | Current | Accepting new patients | |
| SJS Consultants Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health Macomb-Oakland Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Essential Anesthesia Services, PLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| PSJ Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Henry Ford Health Macomb Oakland Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Anesthesia Associates of Ann Arbor, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Beaumont Macomb Township ASC, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Apex Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Waterford Surgical Center, LLC | Past | Accepting new patients |
Locations
7920 Solutions Ctr Dr
Chicago, IL 60677
7924 Solutions Ctr Dr
Chicago, IL 60677
7915 Solutions Ctr Dr
Chicago, IL 60677
2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331
6886 Sashabaw Rd
Clarkston, MI 48348
Phone (248) 707-3112
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
255 W Michigan Ave
Jackson, MI 49201
1546 Callis Rd
Lapeer, MI 48446
Phone (810) 667-4000
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
155 S Main St
Unit 163
Mount Clemens, MI 48046
44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000
3601 W 13 Mile Rd
Royal Oak, MI 48073
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
264 W Maple Rd
Ste 100
Troy, MI 48084
Phone (248) 269-5594
1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
5220 Highland Rd
Ste 1
Waterford, MI 48327
Phone (248) 886-5555
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
Interoperability endpoints
- sstawicki1152348@direct.hfhs.org
Organizations & group practices 15
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
- Westland, MI
- NPI 1669581997
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Clarkston, MI
- NPI 1568270783
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Rochester, MI
- NPI 1114378981
-
- Certified Registered Nurse Anesthetist
- Troy, MI
- NPI 1932482098
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Warren, MI
- NPI 1396789434
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Madison Heights, MI
- NPI 1871793505
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1598896995
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Southfield, MI
- NPI 1275905796
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Waterford, MI
- NPI 1376862474
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI, Nurse Anesthetist, Certified Registered
-
- Social Worker
- Warren, MI
- NPI 1548609761
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Shelby Township, MI
- NPI 1184206385
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164518924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "49201",
"telephone_number": "517-787-6440",
"fax_number": "517-787-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44405 WOODWARD AVE",
"city": "PONTIAC",
"state": "MI",
"postal_code": "48341",
"telephone_number": "248-858-6593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAWICKI",
"first_name": "STEPHEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704237563",
"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 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.