Organization Active NPI

Grand Anesthesia PLLC

  • Anesthesiology Physician
  • Grand Rapids, MI
National Provider Identifier
1447788534
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GRAND ANESTHESIA PLLC
Practice address
310 Lafayette Ave SE
Grand Rapids, MI 49503-4693
Phone
(972) 331-0707
NPI assigned
Jun 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Haroon Ilyas Rasheed, MD
Title
Owner
Phone
(972) 331-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

310 Lafayette Ave SE
Grand Rapids, MI 49503-4693

Mailing address

5520 LBJ Fwy Ste 200
Dallas, TX 75240-6381

National Provider Directory

National Provider Directory

Locations

310 Lafayette Ave SE
Grand Rapids, MI 49503
Phone (616) 685-3450

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1447788534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 LBJ FWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LAFAYETTE AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034693",
            "telephone_number": "972-331-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "RASHEED",
        "authorized_official_first_name": "HAROON",
        "authorized_official_middle_name": "ILYAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-331-0707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.