Innovative Anesthesia Services PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

4301091286 Issued in MI

Legal business name

INNOVATIVE ANESTHESIA SERVICES PC

Practice address

847 Parchment Dr SE Ste 105
Grand Rapids, MI 49546

Phone

(616) 516-4837

NPI assigned

Oct 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Carol Jugan, M.D.

Title

Owner

Phone

(616) 780-7489

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1275937625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 PARCHMENT DR SE STE 105",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 PARCHMENT DR SE STE 105",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-516-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE ANESTHESIA SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "JUGAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-780-7489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "4301091286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Inman
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• Inner X Section
• Marilyn Innes, MD
• Kayla Innis
• Innovative Health & Chiropractic PLLC
• Inprocess Counseling LLC
• Inpsyght PLLC
• Insight Counseling Partners LLC
• Insight Therapy LLC

• Medical Specialty Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Medical Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.