NPIMap

Organization Active NPI

Sjmhs Anesthesia Services

  • Anesthesiology Physician
  • Howell, MI
National Provider Identifier
1215026281
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SJMHS ANESTHESIA SERVICES
Practice address
620 Byron Rd
Howell, MI 48843-1002
Phone
(517) 545-6000
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Garry Faja
Title
President and Ceo
Phone
(734) 712-3791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

620 Byron Rd
Howell, MI 48843-1002

Mailing address

5301 McAuley Dr
(Pob 992, Ann Arbor, Mi 48106)
Ypsilanti, MI 48197-1051

Other names 1

  • Trinity Health- Michigan Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070508000487 MI Part B Supplier - Clinic/Group Practice 7416053483 Receives reassigned benefits from 149 practitioners
3 other NPIs on this enrollment
Practice locations: Brighton, MI; Ypsilanti, MI

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 150

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 150

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215026281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 MCAULEY DR",
            "address_2": "(POB 992, ANN ARBOR, MI 48106)",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BYRON RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431002",
            "telephone_number": "517-545-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJMHS ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAJA",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "734-712-3791"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Health- Michigan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.