Organization Active NPI

Laingsburg Anesthesia Services Inc

  • Certified Registered Nurse Anesthetist
  • Laingsburg, MI
National Provider Identifier
1669660858
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704141918 Issued in MI
Legal business name
LAINGSBURG ANESTHESIA SERVICES INC
Practice address
7763 Doyle Rd
Laingsburg, MI 48848-9791
Phone
(269) 945-2176
NPI assigned
Oct 12, 2007
Last updated
Oct 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Deloris K Vanderhoof, CRNANPI 1265542252
Title
Owner
Phone
(269) 945-2176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704141918 MI Primary

Addresses

Primary practice location

7763 Doyle Rd
Laingsburg, MI 48848-9791

Mailing address

7763 Doyle Rd
Laingsburg, MI 48848-9791
Phone (269) 945-2176

Other identifiers 1

IdentifierTypeStateIssuer
4308703890OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1669660858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7763 DOYLE RD",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488489791",
            "telephone_number": "269-945-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7763 DOYLE RD",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488489791",
            "telephone_number": "269-945-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAINGSBURG ANESTHESIA SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "VANDERHOOF",
        "authorized_official_first_name": "DELORIS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-945-2176",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704141918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4308703890",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laingsburg, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.