Paul A Mailloux, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704197640 Issued in MI

Practice address

1000 Harrington Blvd
Mount Clemens, MI 48043

Phone

(586) 493-8747

Fax

(586) 493-8741

NPI assigned

Oct 3, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Long Lake Anesthesiology Consultants PLCGroup PAC ID 7113818980, 94 clinicians

Alliance Anesthesia PLLCGroup PAC ID 0143538769, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Michigan Surgical Hospital LLC Hospital, Warren, MI, CCN 230264

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Alliance Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Flint, MI
  • NPI 1063880052

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Long Lake Anesthesiology Consultants, PLC

  • Anesthesiology Physician
  • Troy, MI
  • NPI 1194812651
  Medicare reassignment Care Compare group NPD
• GLPS Staffing Solutions LLC

  • Certified Registered Nurse Anesthetist
  • Mount Clemens, MI
  • NPI 1750797015

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Jawad a Shah, MD PC

  • Specialist
  • Flint, MI
  • NPI 1942402391
  Medicare reassignment NPD
• Macomb Endoscopy Center PLC

  • Ambulatory Surgical Clinic/Center
  • Macomb, MI
  • NPI 1780923128
  Medicare reassignment NPD
• Superior Anesthetists Associates, Inc.

  • Specialist
  • Troy, MI
  • NPI 1831144518
  Medicare reassignment NPD
• Surgical Centers of Michigan, LLC.

  • Ambulatory Surgical Clinic/Center
  • Troy, MI
  • NPI 1962463133
  Medicare reassignment NPD
• Northstar Anesthesia of Michigan II PC

  • Anesthesiology Physician
  • Irving, TX
  • NPI 1437268026

  MI, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Jawad a Shah MD PC

  • Durable Medical Equipment & Medical Supplies
  • Dearborn, MI
  • NPI 1114667763
  NPD
• Macomb Endoscopy Center, PLC

  • Anesthesiology Physician
  • Macomb, MI
  • NPI 1821498536
  NPD
• Surgical Centers of Michigan, LLC

  • Anesthesiology Physician
  • Troy, MI
  • NPI 1518367234
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southeast Michigan Surgical Hospital, LLC

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1962402354
  Care Compare affiliation

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720172414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HARRINGTON BLVD",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "48043",
            "telephone_number": "586-493-8747",
            "fax_number": "586-493-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HARRINGTON BLVD",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "48043",
            "telephone_number": "586-493-8747",
            "fax_number": "586-493-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILLOUX",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704197640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4862640",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macomb Emergency Physicians PLLC
• Macomb Residential Opportunities, Inc.
• Adriene Maddox, LLMSW
• Lisa Mader, MSW
• Sameera Mahesh Mahimkar
• Mainstreet Chiropractic LLC
• Venkateswara Rao Malineni, MD
• Kimberly Lauren Mamo-Rennert
• Ramandeep Mand, M.D.
• Vasudevarao Mandava, M.D

• Certified Registered Nurse Anesthetist in Mount Clemens, MI
• Providers in Mount Clemens, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.