John F Stallwood, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704244466 Issued in MI

Practice address

15855 19 Mile Rd
Clinton TWP, MI 48038-3504

Phone

(586) 263-2370

NPI assigned

Jan 29, 2008

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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jstallwood8304@direct.hfhs.org

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.

• Eastern District Anesthesiology PLLC

  • Anesthesiology Physician
  • Rochester Hills, MI
  • NPI 1396397741

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Henry Ford Macomb Hospital Corporation

  • Certified Registered Nurse Anesthetist
  • Clinton Township, MI
  • NPI 1528130739

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Henry Ford Macomb Hospital Corporation

  dba Henry Ford Macomb Health Center Chesterfield

  • Nurse Practitioner
  • Chesterfield, MI
  • NPI 1952440521
  NPD

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1689851032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15855 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383504",
            "telephone_number": "586-263-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15855 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383504",
            "telephone_number": "586-263-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLWOOD",
        "first_name": "JOHN",
        "middle_name": "F",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704244466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quenton D Spates Jr., LLBSW
• Elizabeth Anne Spiewak
• Gwendolyn Denise Spindle
• Heidi Spyridakis, MOT,OTRL
• St. Mary Rehabilitation Services L.L.C
• Amanda J J Stamper
• Christy L Stamper, LLMSW
• Haley Stanbury
• Stanley L Engelhardt, MD, PC
• John Stanley, M.D.

• Certified Registered Nurse Anesthetist in Clinton TWP, MI
• Providers in Clinton TWP, 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 Jan 29, 2008; 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.