Dhom Anesthesia Administrative Services LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

4301061430 Issued in MI

Legal business name

DHOM ANESTHESIA ADMINISTRATIVE SERVICES LLC

Practice address

461 W Huron St
Pontiac, MI 48341-1601

Phone

(248) 857-7310

NPI assigned

Mar 7, 2013

Last updated

Mar 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Joseph, MDNPI 1336254945

Title

Owner

Phone

(810) 869-0397

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Angela A Joseph, MD

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1336254945
  NPD (past) Authorized official

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1720329220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 WOODSIDE DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035341",
            "telephone_number": "810-869-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W HURON ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411601",
            "telephone_number": "248-857-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHOM ANESTHESIA ADMINISTRATIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-869-0397",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301061430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4574510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Detroit Vamc
• Michael Christopher Dettloff, D.O.
• Derek John Devee, TLLP
• Anantha Devineni
• Robert Thomas Devore, R.PH.
• Harsha Sai Dhondu, MBBS
• Erica Ann Di Cicco, D.O.
• Benjamin John Diaczok I, MD
• Dial a Doc Physicians PC
• Laura Diaz

• Anesthesiology Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.