Thomas E McKenzie, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704207439 Issued in MI

Practice address

580 W College Ave
Marquette, MI 49855-2705

Phone

(906) 225-3406

Fax

(906) 225-3094

NPI assigned

Nov 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI, WI2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspirus Medford Hospital and Clinics IncGroup PAC ID 5799688602, shared by 9 NPIs, 126 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Acquisition Bell Hospital LLC

  • Critical Access Hospital
  • Ishpeming, MI
  • NPI 1699101345

  MI

  Medicare reassignment NPD
• Aspirus Ironwood Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Ironwood, MI
  • NPI 1649297342

  MI

  Medicare reassignment NPD
• Aspirus Ironwood Hospital & Clinics, Inc.

  • Family Medicine Physician
  • Ironwood, MI
  • NPI 1992704753

  MI

  Medicare reassignment NPD
• South Shore Anesthesia Staffing

  • Certified Registered Nurse Anesthetist
  • Marquette, MI
  • NPI 1013525112

  MI, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Aspirus Medford Hospital & Clinics, Inc.

  • Rural Health Clinic/Center
  • Gilman, WI
  • NPI 1285703173

  WI

  Medicare reassignment NPD
• Aspirus Medford Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Medford, WI
  • NPI 1619079597

  WI

  Medicare reassignment NPD
• Acquisition Bell Hospital LLC

  • Anesthesiology Physician
  • Ishpeming, MI
  • NPI 1013789015
  NPD
• Aspirus Ironwood Hospital & Clinics, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Ironwood, MI
  • NPI 1609743590
  NPD
• Aspirus Medford Hospital & Clinics, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Medford, WI
  • NPI 1427105923
  NPD
• Marquette General Hospital, Inc.

  • Certified Registered Nurse Anesthetist
  • Marquette, MI
  • NPI 1639332455

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1629050448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 COUNTY ROAD 545 N",
            "city": "SKANDIA",
            "state": "MI",
            "postal_code": "498859583",
            "telephone_number": "906-942-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W COLLEGE AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552705",
            "telephone_number": "906-225-3406",
            "fax_number": "906-225-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704207439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00237828",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104593293",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD PIN",
            "identifier": "TM207439",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie A McDonald, PA-C
• Anna Patrice McDonnell
• Mark McGovern, DDS
• Gabrielle McGrath
• Malorie McGraw, CCC-SLP
• Angela McKie, LPN
• Brianne McKinney
• Kimberly Ann McLain, NP-C
• Patricia McLarty
• McLean Family Chiropractic Center

• Certified Registered Nurse Anesthetist in Marquette, MI
• Providers in Marquette, 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 Apr 25, 2008; 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.

Verify at the official NPI Registry.