Active NPI
Big Rapids Anesthesia PLC
- Certified Registered Nurse Anesthetist
- Big Rapids, MI
National Provider Identifier
1588084917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704185510
- Legal business name
- BIG RAPIDS ANESTHESIA PLC
- Practice address
- 17811 Trestle Bend Dr
Big Rapids, MI 49307-1181 - Phone
- (734) 241-3891
- Fax
- (734) 241-0014
- NPI assigned
- Apr 24, 2014
- Last updated
- Apr 24, 2014
- 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
- James Gilkins, CRNA
- Title
- Partner
- Phone
- (734) 241-3891
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704185510 | MI | Primary |
Addresses
Primary practice location
17811 Trestle Bend Dr
Big Rapids, MI 49307-1181
Mailing address
5623 E Dunbar Rd
Monroe, MI 48161-9127
Phone (734) 241-3891
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704185510 | Other | MI | STATE LIC NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398297600000",
"number": "1588084917",
"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": "17811 TRESTLE BEND DR",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493071181",
"telephone_number": "734-241-3891",
"fax_number": "734-241-0014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIG RAPIDS ANESTHESIA PLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-24",
"last_updated": "2014-04-24",
"status": "A",
"authorized_official_last_name": "GILKINS",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "734-241-3891",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704185510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC NUMBER",
"identifier": "4704185510",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Big Rapids, MI
- Lyndsay C Bendall Bloomfield, D.C.
- Amberly Bendall
- John Robert Bennie, MA LBSW QMHP
- Michael Berghoef
- Stephen James Bhandarkar, MD
- Big Rapids Chiropractic, PLC
- Big Rapids Dental Health Care Associates, PC
- Big Rapids Family Dental PLC
- Big Rapids Family Eye Care PLLC (Big Rapids Family Eye Care)
- Big Rapids Fields Assisted Living LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.