Organization Active NPI

Anesthesia Services Affiliates PLLC

  • Anesthesiology Physician
  • Oak Park, MI
National Provider Identifier
1174911929
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIA SERVICES AFFILIATES PLLC
Practice address
22000 Greenfield Rd
Oak Park, MI 48237-2500
Phone
(248) 206-2990
Fax
(248) 206-2991
NPI assigned
Jan 2, 2015
Last updated
Apr 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Ms. Cassandra Fudge
Title
Administrator
Phone
(248) 206-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

22000 Greenfield Rd
Oak Park, MI 48237-2500

Mailing address

22000 Greenfield Rd
Oak Park, MI 48237-2500
Phone (248) 709-7072

Other practice location 1

32270 Telegraph Rd
Suite 110
Bingham Farms, MI 48025-2456
Phone (248) 792-9496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170609001414 MI Part B Supplier - Clinic/Group Practice 9335417666 Receives reassigned benefits from 1 practitioner
Practice locations: Bingham Farms, MI

National Provider Directory

National Provider Directory

Locations

30200 Telegraph Rd
Ste 456
Bingham Farms, MI 48025
Phone (248) 206-2990

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1174911929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22000 GREENFIELD RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372500",
            "telephone_number": "248-709-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22000 GREENFIELD RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372500",
            "telephone_number": "248-206-2990",
            "fax_number": "248-206-2991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32270 Telegraph Rd",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480252456",
            "country_code": "US",
            "telephone_number": "248-792-9496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANESTHESIA SERVICES AFFILIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "FUDGE",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-206-2990",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.