Active NPI
Ronald C Boge, CRNA
- Certified Registered Nurse Anesthetist
- Mt Pleasant, MI
National Provider Identifier
1225089816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704187664
- Practice address
- 1221 South Dr
Mount Pleasant, MI 48858-3257 - Phone
- (989) 772-6732
- Fax
- (989) 772-6810
- NPI assigned
- May 16, 2006
- Last updated
- Sep 13, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704187664 | MI | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN32477 | MT | |
| Certified Registered Nurse Anesthetist | 367500000X | RNA-71 | ID |
Addresses
Primary practice location
1221 South Dr
Mount Pleasant, MI 48858-3257
Mailing address
1221 South Dr
Mount Pleasant, MI 48858-3257
Phone (989) 772-6732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8168 | AZ | MD | Chiropractor |
| RNA-71 | ID | MD | Certified Registered Nurse Anesthetist |
| RN32477 | MT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blair County Anesthesia, P.C. | Past | Accepting new patients | |
| Verde Valley Medical Center | Past | Accepting new patients | |
| Yuma Endoscopy Sedation Service, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Kalamazoo Anesthesiology P C | Past | Accepting new patients | |
| Anesthesia Consulting Services, PA | Past | Accepting new patients | |
| Lexington Anesthesia Associates, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Mymichigan Medical Center Tawas | Past | Accepting new patients | |
| McLaren Port Huron | Past | Accepting new patients |
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Anesthesiology Physician
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- NPI 1407821796
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- General Acute Care Hospital
- Port Huron, MI
- NPI 1982685384
-
dba Ascension St Joseph Hospital Huron Family Medicine
- Rural Health Clinic/Center
- Tawas City, MI
- NPI 1952399743
-
- Anesthesiology Physician
- Wichita, KS
- NPI 1518070416
-
- Anesthesiology Physician
- Altoona, PA
- NPI 1003864612
-
- Certified Registered Nurse Anesthetist
- Altoona, PA
- NPI 1932144029
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
- Certified Registered Nurse Anesthetist
- Yuma, AZ
- NPI 1386941235
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1225089816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 SOUTH DR",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488583257",
"telephone_number": "989-772-6732",
"fax_number": "989-772-6810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 SOUTH DR",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488583257",
"telephone_number": "989-772-6732",
"fax_number": "989-772-6810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGE",
"first_name": "RONALD",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704187664",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "RN32477",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "RNA-71",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.