Great Lakes Anesthesia

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704189375 Issued in MI

Legal business name

GREAT LAKES ANESTHESIA

Practice address

400 Medical Park Dr
Watervliet, MI 49098-9225

Phone

(734) 241-3891

Fax

(734) 241-0014

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Steven Paul Clingerman, CRNANPI 1568441939

Title

President

Phone

(734) 241-3891

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Steven Clingerman, CRNA

  • Certified Registered Nurse Anesthetist
  • Paw Paw, MI
  • NPI 1568441939
  Authorized official Same address or phone

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1518062256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5623 E DUNBAR RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619127",
            "telephone_number": "734-241-3891",
            "fax_number": "734-241-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PARK DR",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490989225",
            "telephone_number": "734-241-3891",
            "fax_number": "734-241-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "CLINGERMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-241-3891",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704189375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flowing Waters Emergency Physicians
• Denise A Frazee, M.A., CCC-SLP
• Klaudia Freislinger
• Maholla Fuller, MA, CCC-SLP
• Cynthia J Garrone, D.C.
• Renee Marie Hardman, PT
• Health & Fitness for Life, LLC (Lifestyle Chiropractic)
• Lindsey Catherine Healy, MD
• Victor Holland
• Alexis M Izumi, P.A.

• Certified Registered Nurse Anesthetist in Watervliet, MI
• Providers in Watervliet, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.