Individual provider Active NPI

Michael W. Suing, CRNA

  • Certified Registered Nurse Anesthetist
  • Blair, NE
National Provider Identifier
1679630941
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
100977 Issued in NE
Practice address
810 N 22ND St
Blair, NE 68008
Phone
(402) 426-2182
Fax
(402) 426-1181
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 100977 NE Primary

Addresses

Primary practice location

810 N 22ND St
Blair, NE 68008

Mailing address

810 N 22ND St
Blair, NE 68008-1128
Phone (402) 426-2182

Other practice location 1

6911 Van Dorn St
Suite # 2
Lincoln, NE 68506-6801
Phone (402) 489-4186

Other identifiers 1

IdentifierTypeStateIssuer
47061979815MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070129000687 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971504218 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Group of Grand Island PC CurrentSince Mar 1, 2019 Accepting new patients
Memorial Community Hospital Corporation CurrentSince Mar 1, 2019 Accepting new patients
Memorial Community Hospital Corporation CurrentSince Mar 1, 2019 Accepting new patients
Leighow Anesthesia & Medical Aesthetics LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 20, 2018 Accepting new patients
Metro Omaha Anesthesia PC CurrentSince Jan 25, 2019 Accepting new patients
Associated Anesthesiologists PC PastSince Feb 25, 2024 Accepting new patients

Locations

812 N 22nd St
Blair, NE 68008
Phone (402) 426-4611

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

3610 Richmond Cir
Grand Island, NE 68803
Phone (308) 382-6856

11606 Nicholas St
Omaha, NE 68154
Phone (402) 493-2020

3201 S 24th St
Omaha, NE 68108
Phone (402) 345-9132

10780 V St
Omaha, NE 68127
Phone (402) 502-5599

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1679630941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N 22ND ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680081128",
            "telephone_number": "402-426-2182",
            "fax_number": "402-426-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N 22ND ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "68008",
            "telephone_number": "402-426-2182",
            "fax_number": "402-426-1181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6911 Van Dorn St",
            "address_2": "Suite # 2",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685066801",
            "country_code": "US",
            "telephone_number": "402-489-4186",
            "fax_number": "402-489-5279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUING",
        "first_name": "MICHAEL",
        "middle_name": "W.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "100977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47061979815",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blair, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.

Verify at the official NPI Registry.