Active NPI
Lakeshore Anesthesia Services, PC
- Anesthesiology Physician
- Muskegon, MI
National Provider Identifier
1578703252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- LAKESHORE ANESTHESIA SERVICES, PC
- Practice address
- 1700 Clinton St
Muskegon, MI 49442-5502 - Phone
- (231) 726-3511
- NPI assigned
- Feb 20, 2009
- Last updated
- Jul 30, 2009
- 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
- Paul M Chovaz, MD
- Title
- President
- Phone
- (231) 726-4498
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
1700 Clinton St
Muskegon, MI 49442-5502
Mailing address
550 W Western Ave
Ste B
Muskegon, MI 49440-1045
Phone (231) 726-4498
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Anesthesiology Physician
- Muskegon, MI
- NPI 1972589240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248912000000",
"number": "1578703252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 W WESTERN AVE",
"address_2": "STE B",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494401045",
"telephone_number": "231-726-4498",
"fax_number": "231-726-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 CLINTON ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494425502",
"telephone_number": "231-726-3511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKESHORE ANESTHESIA SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-20",
"last_updated": "2009-07-30",
"status": "A",
"authorized_official_last_name": "CHOVAZ",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "231-726-4498",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
- Lake Mi ENT PLLC
- Lake Michigan Emergency Specialists, PLLC
- Lake Michigan ENT PLLC
- Lake Michigan Observation Services PLLC
- Lake-Shore Lawn and More LLC
- Lakeshore Home Health Care Services, Inc.
- Lakeshore Home Health Care Services, Inc. (Tender Loving Care Staffing)
- Lakeshore Imaging Consultants, PLC
- Lakeshore Massage Therapy Inc
- Lakeshore Medical & Home Health Supply Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.