Active NPI
Eva Ross, CRNA
- Certified Registered Nurse Anesthetist
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704253168
- Practice address
- 2450 Walton Blvd
Rochester Hills, MI 48309-1481 - Phone
- (248) 650-0096
- Fax
- (224) 255-5813
- NPI assigned
- Jan 7, 2011
- Last updated
- Apr 26, 2024
- 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 | 4704253168 | MI | Primary |
Addresses
Primary practice location
2450 Walton Blvd
Rochester Hills, MI 48309-1481
Mailing address
921 Sherwood Dr
Lake Bluff, IL 60044-2203
Phone (800) 444-6110
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704253168 | Other | MI | MI LIC |
| RN9318095 | Other | FL | FL LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anupama Shah MD, PLC | Current | Accepting new patients | |
| Birmingham Anesthesia Staffing Group LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kumar Surgical Center LLC | Anesthesiology | Current | Accepting new patients |
| Stephen J. Watts, MD, PLLC | Past | Accepting new patients |
Locations
921 Sherwood Dr
Lake Bluff, IL 60044
Phone (847) 691-9080
1051 S Telegraph Rd
Ste 100
Monroe, MI 48161
Phone (734) 244-5383
1051 S Telegraph Rd
Ste 10
Monroe, MI 48161
Phone (734) 244-5383
2450 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 650-0096
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Beverly Hills, MI
- NPI 1962257360
Nurse Anesthetist, Certified Registered
-
dba Monroe Anesthesiologists
- Pain Medicine (Anesthesiology) Physician
- Monroe, MI
- NPI 1679864623
-
- Anesthesiology Physician
- Rochester Hills, MI
- NPI 1932843968
-
- Gastroenterology Physician
- Wyandotte, MI
- NPI 1548352412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1629372495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 SHERWOOD DR",
"city": "LAKE BLUFF",
"state": "IL",
"postal_code": "600442203",
"telephone_number": "800-444-6110",
"fax_number": "772-581-5771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 WALTON BLVD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483091481",
"telephone_number": "248-650-0096",
"fax_number": "224-255-5813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "EVA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-07",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704253168",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI LIC",
"identifier": "4704253168",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL LIC",
"identifier": "RN9318095",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.