Organization Active NPI

Ambulatory Anesthesia Solutions

  • Certified Registered Nurse Anesthetist
  • Troy, MI
National Provider Identifier
1689983116
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704226348 Issued in MI
Legal business name
AMBULATORY ANESTHESIA SOLUTIONS
Practice address
64 Starr Dr
Troy, MI 48083-1646
Phone
(248) 470-9986
Fax
(248) 565-2495
NPI assigned
Oct 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Mr. Mark Nold, CRNA
Title
Partner
Phone
(248) 470-9986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 4704226348 MI Primary

Addresses

Primary practice location

64 Starr Dr
Troy, MI 48083-1646

Mailing address

64 Starr Dr
Troy, MI 48083-1646
Phone (248) 470-9986

Other identifiers 1

IdentifierTypeStateIssuer
4704226348OtherMINOLD LICENSE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1689983116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 STARR DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831646",
            "telephone_number": "248-470-9986",
            "fax_number": "248-565-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 STARR DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831646",
            "telephone_number": "248-470-9986",
            "fax_number": "248-565-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY ANESTHESIA SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "NOLD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "248-470-9986",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704226348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOLD LICENSE NUMBER",
            "identifier": "4704226348",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.