Individual provider Active NPI

Gary M Laduke II, CRNA

  • Certified Registered Nurse Anesthetist
  • Saint Clair, MI
National Provider Identifier
1326717877
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11018874 Issued in FL
Practice address
4755 Yankee Rd
Saint Clair, MI 48079-4114
Phone
(810) 656-4313
NPI assigned
Sep 8, 2021
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 4704308204 MI
Certified Registered Nurse Anesthetist 367500000X 209029454 IL
Certified Registered Nurse Anesthetist 367500000X APRN11018874 FL Primary

Addresses

Primary practice location

4755 Yankee Rd
Saint Clair, MI 48079-4114

Mailing address

4755 Yankee Rd
Saint Clair, MI 48079-4114
Phone (810) 656-4313

Other practice location 1

701 6th St S
St Petersburg, FL 33701-4814
Phone (321) 841-2335

Other identifiers 1

IdentifierTypeStateIssuer
117355100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MI, FL, IL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20211116001831 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517356355 Reassigns benefits to 1 organization
I20220511001656 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517356355 Reassigns benefits to 2 organizations
I20230220002567 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517356355 Reassigns benefits to 1 organization
I20240625001827 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517356355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

701 6TH St S
St Petersburg, FL 33701-4814
Phone (727) 893-6182

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.54 of 100Reported as group
Quality
93.24
Promoting interoperability
100
Improvement activities
40
Cost
79.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN11018874FLMDCertified Registered Nurse Anesthetist
209029454ILMDCertified Registered Nurse Anesthetist
4704308204MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Physician Solutions of South Florida, LLC Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2023 Accepting new patients
Botsford General Hospital Single Specialty CurrentSince Jul 30, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 10, 2025 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2023 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Sheridan Healthcorp Inc Single Specialty Current Accepting new patients
Orlando Health Medical Group Inc Single Specialty CurrentSince Jan 10, 2025 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC Single Specialty CurrentSince May 12, 2024 Accepting new patients
Botsford General Hospital Single Specialty CurrentSince Jul 30, 2023 Accepting new patients
US Anesthesia Partners of Colorado Inc. Single Specialty CurrentSince Nov 9, 2021 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Single Specialty CurrentSince May 10, 2022 Accepting new patients

Locations

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

468 Cadieux Rd
Grosse Pointe Woods, MI 48230
Phone (313) 343-1000

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1326717877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 YANKEE RD",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480794114",
            "telephone_number": "810-656-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 YANKEE RD",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480794114",
            "telephone_number": "810-656-4313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 6th St S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337014814",
            "country_code": "US",
            "telephone_number": "321-841-2335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LADUKE",
        "first_name": "GARY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704308204",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209029454",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11018874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117355100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.