Active NPI
Clay B Awishes, CRNA
- Certified Registered Nurse Anesthetist
- Monroe, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704229730
- Practice address
- 718 N Macomb St
Monroe, MI 48162-7815 - Phone
- (734) 240-8536
- NPI assigned
- Nov 30, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.12044 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704229730 | MI | Primary |
Addresses
Primary practice location
718 N Macomb St
Monroe, MI 48162-7815
Mailing address
718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000
5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (419) 291-4491
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704229730 | MI | MD | Certified Registered Nurse Anesthetist |
| APRN.CRNA.12044 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| Mercy Memorial Hospital Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Promedica Central Corporation of Michigan | Current | Accepting new patients | |
| Mercy Memorial Hospital Corporation | Current | Accepting new patients | |
| Ambulatory Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Eastriver Anesthesia Services, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Stephen J. Watts, MD, PLLC | Past | Accepting new patients |
Locations
5640 N Adrian Hwy
Adrian, MI 49221
Phone (419) 291-3000
3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883
2600 Navarre Ave
Fl 3
Oregon, OH 43616
Phone (419) 696-7701
2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
-
- Certified Registered Nurse Anesthetist
- Monroe, MI
- NPI 1366483745
Nurse Anesthetist, Certified Registered
-
dba ProMedica Physicians Durable Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
- Anesthesiology Physician
- Monroe, MI
- NPI 1952350555
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Wyandotte, MI
- NPI 1548352412
-
- Anesthesiology Physician
- Oregon, OH
- NPI 1962574160
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
-
dba Promedica Monroe Regional Hospital
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
-
dba Monroe Cancer Center
- Specialist
- Monroe, MI
- NPI 1376997551
Hospital
-
- General Acute Care Hospital
- Oregon, OH
- NPI 1598765539
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1467754267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 N MACOMB ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481627815",
"telephone_number": "734-240-8536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 N MACOMB ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481627815",
"telephone_number": "734-240-8536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWISHES",
"first_name": "CLAY",
"middle_name": "B",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-30",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.12044",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704229730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.