NPIMap

Organization Active NPI

Eastern District Anesthesiology PLLC

  • Anesthesiology Physician
  • Rochester Hills, MI
National Provider Identifier
1396397741
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
EASTERN DISTRICT ANESTHESIOLOGY PLLC
Practice address
1349 S Rochester Rd Ste 250
Rochester Hills, MI 48307-3186
Phone
(248) 601-0040
NPI assigned
Jul 15, 2019
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Robert Ginnebaugh, MDNPI 1760725675
Title
President
Phone
(586) 263-2373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary
Certified Registered Nurse Anesthetist 367500000X

Addresses

Primary practice location

1349 S Rochester Rd Ste 250
Rochester Hills, MI 48307-3186

Mailing address

5600 Lockwood Dr
Washington, MI 48094-2637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190830002837 MI Part B Supplier - Clinic/Group Practice 6507195419 Receives reassigned benefits from 97 practitioners
Practice locations: Rochester Hills, MI; Macomb, MI

National Provider Directory

National Provider Directory

Locations

22701 Hall Rd
Macomb, MI 48042
Phone (586) 260-4665

Practitioners & affiliated clinicians

Practitioners 97

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.

View all 97

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1396397741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 LOCKWOOD DR",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480942637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S ROCHESTER RD STE 250",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073186",
            "telephone_number": "248-601-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN DISTRICT ANESTHESIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "GINNEBAUGH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-263-2373",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.