Active NPI
The Surgery Center
- Certified Registered Nurse Anesthetist
- Traverse City, MI
National Provider Identifier
1225256324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- THE SURGERY CENTER
- Practice address
- 5080 N Royal Dr
Traverse City, MI 49684-9230 - Phone
- (231) 929-3888
- Fax
- (231) 929-4365
- NPI assigned
- Apr 23, 2007
- Last updated
- Oct 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Grochowalski
- Title
- Administration
- Phone
- (231) 929-3888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | MI | Primary |
Addresses
Primary practice location
5080 N Royal Dr
Traverse City, MI 49684-9230
Mailing address
5080 N Royal Dr
Traverse City, MI 49684-9230
Phone (231) 929-3888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG1308 | Other | MI | CRNA/MD RAILROAD MEDICARE |
National Provider Directory
National Provider Directory- Tax ID family
- The Surgery Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Traverse City, MI
- NPI 1770577637
-
- Anesthesiology Physician
- Traverse City, MI
- NPI 1902024003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193356800000",
"number": "1225256324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5080 N ROYAL DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496849230",
"telephone_number": "231-929-3888",
"fax_number": "231-929-4365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5080 N ROYAL DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496849230",
"telephone_number": "231-929-3888",
"fax_number": "231-929-4365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2007-10-26",
"status": "A",
"authorized_official_last_name": "GROCHOWALSKI",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "ADMINISTRATION",
"authorized_official_telephone_number": "231-929-3888"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA/MD RAILROAD MEDICARE",
"identifier": "CG1308",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
- The Nurturing Space Counseling, PLLC
- The Prescription Shop of Traverse City East Inc (Whitney Pharmacy Services Inc)
- The Resiliency Therapy Center, PLLC (The Resiliency Therapy Center)
- The Skin Cancer and Dermatology Center PLC
- The Studio Art Therapy & Counseling
- The Surgery Center
- Carissa Mae Thelen, OTRL
- Therapy North LLC
- Theresa a Evans LMSW PLLC
- Theresa Evans LMSW Caadc LLC (Trillium Counseling Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.