Mercy Memorial Hospital Corporation

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

MERCY MEMORIAL HOSPITAL CORPORATION

Practice address

740 N Macomb St
Monroe, MI 48162-7813

Phone

(734) 240-5238

NPI assigned

Jun 9, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Audrey Renee Richards, RN

Title

Vice President of Nursing

Phone

(734) 240-5336

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Saad Ajja, CRNA

  • Certified Registered Nurse Anesthetist
  • Southfield, MI
  • NPI 1982709911

  Nurse Anesthetist, Certified Registered

  NPD
• Dawn Marie Aubuchon, CRNA

  • Certified Registered Nurse Anesthetist
  • Livonia, MI
  • NPI 1477738730

  Nurse Anesthetist, Certified Registered

  NPD
• Clay B Awishes, CRNA

  • Certified Registered Nurse Anesthetist
  • Monroe, MI
  • NPI 1467754267

  Nurse Anesthetist, Certified Registered

  NPD
• Melissa Kaye Barber, CRNA

  • Certified Registered Nurse Anesthetist
  • Ann Arbor, MI
  • NPI 1568797280

  Nurse Anesthetist, Certified Registered

  NPD
• Kevin Cardwell, CRNA

  • Certified Registered Nurse Anesthetist
  • Southfield, MI
  • NPI 1114022001

  Nurse Anesthetist, Certified Registered

  NPD
• Paul Richard Emmons III, CRNA

  • Certified Registered Nurse Anesthetist
  • Trenton, MI
  • NPI 1003178377

  Nurse Anesthetist, Certified Registered

  NPD
• David A Glancy, CRNA

  • Certified Registered Nurse Anesthetist
  • Trenton, MI
  • NPI 1013009323

  Nurse Anesthetist, Certified Registered

  NPD
• Olga V. Halstead, CRNA

  • Certified Registered Nurse Anesthetist
  • Monroe, MI
  • NPI 1073701355

  Nurse Anesthetist, Certified Registered

  NPD
• Dawn Hoffman, CRNA

  • Certified Registered Nurse Anesthetist
  • Monroe, MI
  • NPI 1770535510

  Nurse Anesthetist, Certified Registered

  NPD
• Amanda Marie Jablonski, CRNA

  • Certified Registered Nurse Anesthetist
  • Ann Arbor, MI
  • NPI 1720444342

  Nurse Anesthetist, Certified Registered

  NPD
• Kimberly J Jasinski, CRNA

  • Certified Registered Nurse Anesthetist
  • Dearborn, MI
  • NPI 1881790145

  Nurse Anesthetist, Certified Registered

  NPD
• Cassandra Ann Maksimczak, CRNA

  • Certified Registered Nurse Anesthetist
  • Hillsdale, MI
  • NPI 1245552561

  Nurse Anesthetist, Certified Registered

  NPD

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366483745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481627813",
            "telephone_number": "734-240-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481627813",
            "telephone_number": "734-240-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF NURSING",
        "authorized_official_telephone_number": "734-240-5336",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7779511",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Eye Institute, LLC (Mercy Eye Center)
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• Mercy Memorial Hospital Corporation
• Mercy Memorial Hospital Corporation (Monroe Cancer Center)
• Mercy Memorial Hospital Corporation
• Mercy Memorial Hospital Corporation (ProMedica Mercy Memorial Hospital Radiology)
• Mercy Memorial Hospital Corporation (HomeCare Connection)
• Mercy Memorial Hospital Corporation

• Certified Registered Nurse Anesthetist in Monroe, MI
• Providers in Monroe, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.