Active NPI
Pediatric Anesthesia Associates, PC
- Anesthesiology Physician
- Detroit, MI
National Provider Identifier
1427093863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- PEDIATRIC ANESTHESIA ASSOCIATES, PC
- Practice address
- 3901 Beaubien St
Detroit, MI 48201-2119 - Phone
- (313) 966-0965
- NPI assigned
- Jun 19, 2006
- Last updated
- Sep 19, 2007
- 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
- Abboy Naidu Mohan, M.D.
- Title
- Authorized Representative
- Phone
- (313) 966-0965
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
3901 Beaubien St
Detroit, MI 48201-2119
Mailing address
255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
701 S Main St
Clawson, MI 48017
Phone (248) 565-3834
13519 Michigan Ave
Dearborn, MI 48126
Phone (313) 633-9318
3901 Beaubien St
Ste 3B17
Detroit, MI 48201
Phone (313) 745-5437
Practitioners & affiliated clinicians
Practitioners 39
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.
-
- Pediatric Anesthesiology Physician
- Detroit, MI
- NPI 1093365868
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- Anesthesiology Physician
- Detroit, MI
- NPI 1295770865
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- Anesthesiology Physician
- Detroit, MI
- NPI 1194091348
-
- Pediatric Anesthesiology Physician
- Detroit, MI
- NPI 1487812665
-
- Anesthesiology Physician
- Detroit, MI
- NPI 1659308286
-
- Anesthesiology Physician
- Ann Arbor, MI
- NPI 1235368960
-
- Anesthesiology Physician
- Detroit, MI
- NPI 1831134402
-
- Anesthesiology Physician
- Detroit, MI
- NPI 1861887333
-
- Anesthesiology Physician
- Detroit, MI
- NPI 1114134012
-
- Anesthesiology Physician
- Detroit, MI
- NPI 1881639227
-
- Anesthesiology Physician
- Detroit, MI
- NPI 1245539543
-
- Anesthesiology Physician
- Detroit, MI
- NPI 1891801908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190160000000",
"number": "1427093863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012218",
"telephone_number": "517-787-6440",
"fax_number": "517-787-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 BEAUBIEN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012119",
"telephone_number": "313-966-0965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC ANESTHESIA ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-19",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "MOHAN",
"authorized_official_first_name": "ABBOY",
"authorized_official_middle_name": "NAIDU",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "313-966-0965",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 19, 2007; 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.