Active NPI
Kathleen L O'Shea, CRNA
- Certified Registered Nurse Anesthetist
- Grand Blanc, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704155821
- Practice address
- 1 Genesys Pkwy
Grand Blanc, MI 48439-8065 - Phone
- (810) 606-6499
- Fax
- (810) 606-7245
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- 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 | 4704155821 | MI | Primary |
Addresses
Primary practice location
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Mailing address
2432 Genesys Pkwy
Grand Blanc, MI 48439-8069
Phone (810) 606-6499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4465650 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 S Blvd E
Suite 300
Rochester Hills, MI 48307-6120
Phone (248) 844-9710
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704155821 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macomb Endoscopy Center, PLC | Current | Accepting new patients | |
| Henry Ford Health Genesys Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Surgical Centers of Michigan, LLC | Current | Accepting new patients | |
| Ascension Genesys Hospital | Current | Accepting new patients | |
| Macomb Endoscopy Center PLC | Current | Accepting new patients | |
| Pinnacle Anesthesia PLLC | Current | Accepting new patients | |
| Surgical Centers of Michigan, LLC. | Current | Accepting new patients |
Locations
7794 Solution Ctr
Chicago, IL 60677
1 Genesys Pkwy
#H
Grand Blanc, MI 48439
1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
48801 Romeo Plank Rd
Ste 101
Macomb, MI 48044
Phone (586) 726-8423
1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710
50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423
4600 Investment Dr
Ste 270
Troy, MI 48098
Phone (248) 267-6222
Interoperability endpoints
- https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Macomb, MI
- NPI 1295301133
-
- Certified Registered Nurse Anesthetist
- Grand Blanc, MI
- NPI 1558517367
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Macomb, MI
- NPI 1780923128
-
- Ambulatory Surgical Clinic/Center
- Troy, MI
- NPI 1962463133
-
- Skilled Nursing Facility
- Grand Blanc, MI
- NPI 1093125312
-
- Anesthesiology Physician
- Macomb, MI
- NPI 1821498536
-
- Anesthesiology Physician
- Troy, MI
- NPI 1518367234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619083086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2432 GENESYS PKWY",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398069",
"telephone_number": "810-606-6499",
"fax_number": "810-606-7245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GENESYS PKWY",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398065",
"telephone_number": "810-606-6499",
"fax_number": "810-606-7245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'SHEA",
"first_name": "KATHLEEN",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704155821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4465650",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.