Active NPI
American Anesthesiology Group of Michigan, P.C.
- Anesthesiology Physician
- Muskegon, MI
National Provider Identifier
1245708403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- AMERICAN ANESTHESIOLOGY GROUP OF MICHIGAN, P.C.
- Practice address
- 1848 E Sherman Blvd Ste Y
Muskegon, MI 49444-1963 - Phone
- (231) 726-4498
- NPI assigned
- Nov 6, 2018
- Last updated
- Mar 3, 2022
- 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
- Dr. Matthew Walsh, MD
- Title
- Vice President
- Phone
- (800) 243-3839
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
1848 E Sherman Blvd Ste Y
Muskegon, MI 49444-1963
Mailing address
1305 Walt Whitman Rd Ste 300
Melville, NY 11747-4300
Phone (516) 945-3000
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Anesthesiology Physician
- Royal Oak, MI
- NPI 1487609475
Member Of
Locations
1309 Sheldon Rd
Grand Haven, MI 49417
Phone (616) 842-3600
1848 E Sherman Blvd
Ste Y
Muskegon, MI 49444
Phone (231) 726-4498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646265600000",
"number": "1245708403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 WALT WHITMAN RD STE 300",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474300",
"telephone_number": "516-945-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1848 E SHERMAN BLVD STE Y",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441963",
"telephone_number": "231-726-4498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN ANESTHESIOLOGY GROUP OF MICHIGAN, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-06",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A",
"authorized_official_last_name": "WALSH",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "800-243-3839",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.