NPIMap

Organization Active NPI

University Anesthesia Services LLC

  • Anesthesiology Physician
  • Pontiac, MI
National Provider Identifier
1184987570
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301103253 Issued in MI
Legal business name
UNIVERSITY ANESTHESIA SERVICES LLC
Practice address
44555 Woodward Ave Ste 308
St. Joseph Mercy Oakland-Anesthesiology
Pontiac, MI 48341-5031
Phone
(248) 858-3023
Fax
(248) 858-3022
NPI assigned
Jun 20, 2012
Last updated
Jun 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Ms. Diane K Stiller
Title
Chief Financial Officer
Phone
(248) 581-5943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 4301103253 MI Primary

Addresses

Primary practice location

44555 Woodward Ave Ste 308
St. Joseph Mercy Oakland-Anesthesiology
Pontiac, MI 48341-5031

Mailing address

44555 Woodward Ave Ste 308
St. Joseph Mercy Oakland-Anesthesiology
Pontiac, MI 48341-5031
Phone (248) 858-3023

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

44555 Woodward Ave
Ste 308
Pontiac, MI 48341
Phone (248) 858-3023

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1184987570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE STE 308",
            "address_2": "ST. JOSEPH MERCY OAKLAND-ANESTHESIOLOGY",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415031",
            "telephone_number": "248-858-3023",
            "fax_number": "248-858-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE STE 308",
            "address_2": "ST. JOSEPH MERCY OAKLAND-ANESTHESIOLOGY",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415031",
            "telephone_number": "248-858-3023",
            "fax_number": "248-858-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "STILLER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "248-581-5943",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301103253",
            "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 Jun 14, 2016; 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.