Active NPI
Detroit Macomb Hospital Corporation
- Anesthesiology Physician
- Detroit, MI
National Provider Identifier
1366486763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- DETROIT MACOMB HOSPITAL CORPORATION
- Practice address
- 7733 E Jefferson Ave
Detroit, MI 48214-3707 - Phone
- (313) 499-4254
- NPI assigned
- Jun 15, 2006
- 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
- Anthony Munroe
- Title
- President
- Phone
- (313) 499-4108
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
7733 E Jefferson Ave
Detroit, MI 48214-3707
Mailing address
7733 E Jefferson Ave
Detroit, MI 48214-3707
Phone (313) 499-4254
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN820023 | Other | MI | MCARE CRNAS |
| 7853578 | Other | MI | AETNA CRNAS |
| AN820017 | Other | MI | MCARE ANESTHESIOLOGISTS |
Other names 1
- St. John Detroit Riverview Hospital
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1366486763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7733 E JEFFERSON AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482143707",
"telephone_number": "313-499-4254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7733 E JEFFERSON AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482143707",
"telephone_number": "313-499-4254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DETROIT MACOMB HOSPITAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-15",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MUNROE",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-499-4108"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE CRNAS",
"identifier": "AN820023",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA CRNAS",
"identifier": "7853578",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE ANESTHESIOLOGISTS",
"identifier": "AN820017",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. John Detroit Riverview Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.