Margarete Liles LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704159463 Issued in MI

Legal business name

MARGARETE LILES LLC

Practice address

5130 Coolidge Hwy
Suite 120
Royal Oak, MI 48073-1001

Phone

(248) 658-0878

Fax

(248) 435-0930

NPI assigned

Jul 12, 2013

Organization subpart

No

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

Authorized official

Name

Margarete A Liles, CRNA

Title

Sole Proprietor/Owner

Phone

(586) 754-5262

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David J Van Dam, CRNA

  • Certified Registered Nurse Anesthetist
  • Warren, MI
  • NPI 1033137153

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1720429251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 MCKINLEY",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 COOLIDGE HWY",
            "address_2": "SUITE 120",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731001",
            "telephone_number": "248-658-0878",
            "fax_number": "248-435-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARETE LILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "LILES",
        "authorized_official_first_name": "MARGARETE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE PROPRIETOR/OWNER",
        "authorized_official_telephone_number": "586-754-5262",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704159463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea A Marchione, PA-C
• Paolo Marciano Agostinelli, MD PHD
• Krista Marconi
• Kelli Marie Marcus, LLPC
• Stephanie Beth Marcus, M.D.
• Stefan Margiewicz
• Maria Stewart
• Nicole Marijanovich, MD
• Karen A Marinica, PA-C
• Jesus Marino

• Certified Registered Nurse Anesthetist in Royal Oak, MI
• Providers in Royal Oak, 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 12, 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.