Active NPI
George Hislop
- Certified Registered Nurse Anesthetist
- Marysville, MI
National Provider Identifier
1457190936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704306119
- Practice address
- 516 Central St
Marysville, MI 48040 - Phone
- (239) 560-3779
- NPI assigned
- May 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704306119 | MI | Primary |
Addresses
Primary practice location
516 Central St
Marysville, MI 48040
Mailing address
516 Central St
Marysville, MI 48040
Phone (239) 560-3779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704306119 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1457190936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 CENTRAL ST",
"city": "MARYSVILLE",
"state": "MI",
"postal_code": "48040",
"telephone_number": "239-560-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 CENTRAL ST",
"city": "MARYSVILLE",
"state": "MI",
"postal_code": "48040",
"telephone_number": "239-560-3779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HISLOP",
"first_name": "GEORGE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-23",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704306119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.