Roy Mumin Alisoglu, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704147140 Issued in MI

Practice address

5380 Diehl Rd
Metamora, MI 48455-9753

Phone

(989) 928-2349

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Covenant Medical Center, Inc

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1619412376
  NPD (past)
• J.Robert Vankirk Anesthesia Services, Inc.

  • Specialist
  • Freeland, MI
  • NPI 1023035771
  NPD (past)
• Matrix Pain Management PC

  • Interventional Pain Medicine Physician
  • Saginaw, MI
  • NPI 1669419925
  NPD (past)
• Michigan Anesthesia Care One PC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1386976090

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255415428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 DIEHL RD",
            "city": "METAMORA",
            "state": "MI",
            "postal_code": "484559753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 DIEHL RD",
            "city": "METAMORA",
            "state": "MI",
            "postal_code": "484559753",
            "telephone_number": "989-928-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALISOGLU",
        "first_name": "ROY",
        "middle_name": "MUMIN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704147140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Elizabeth Bailey
• Ashley Baker
• Bolton Brook Manor
• Michael John Boyd
• Jordan V Buscemi, PHARMACY STUDENT

• All providers in Metamora, MI
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.