Active NPI
Michael J Michael Jr., M.D.
- Anesthesiology Physician
- Grand Blanc, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301064575
- Practice address
- 1 Genesys Pkwy
Grand Blanc, MI 48439-8065 - Phone
- (810) 606-6499
- Fax
- (810) 606-7245
- NPI assigned
- Jun 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301064575 | MI | Primary |
Addresses
Primary practice location
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Mailing address
2432 Genesys Pkwy
Grand Blanc, MI 48439-8069
Phone (810) 606-6499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25500 Meadowbrook Rd
Suite 110
Novi, MI 48375-1879
Phone (248) 477-2200
29201 Telegraph Rd
Suite 500
Southfield, MI 48034-7648
Phone (248) 569-5985
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Services, LLC | Anesthesiology | Current | Accepting new patients |
| Northwestern Services, LLC | Current | Accepting new patients | |
| Novi Aas LLC | Anesthesiology | Current | Accepting new patients |
| Great Lakes Surgical Center Anesthesia, PLC | Anesthesiology | Past | Accepting new patients |
| American Anesthesiology Associates of Michigan, PC | Anesthesiology | Past | Accepting new patients |
| American Anesthesiology of Michigan PC | Anesthesiology | Past | Accepting new patients |
| Northland Anesthesia Associates, PC | Anesthesiology | Past | Accepting new patients |
Locations
30055 Northwestern Hwy
Ste L-60
Farmington Hills, MI 48334
Phone (248) 265-6555
3800 Centennial Dr
Grass Lake, MI 49240
Phone (517) 701-3100
25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220
43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Novi, MI
- NPI 1598176919
-
- Certified Registered Nurse Anesthetist
- Farmington Hills, MI
- NPI 1215106679
-
- Anesthesiology Physician
- Farmington Hills, MI
- NPI 1083883649
-
- Anesthesiology Physician
- Grand Blanc, MI
- NPI 1235181223
-
- Anesthesiology Physician
- Royal Oak, MI
- NPI 1487609475
-
- Anesthesiology Physician
- Southfield, MI
- NPI 1053353847
-
- Anesthesiology Physician
- Southfield, MI
- NPI 1528001880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730116500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2432 GENESYS PKWY",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398069",
"telephone_number": "810-606-6499",
"fax_number": "810-606-7245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GENESYS PKWY",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398065",
"telephone_number": "810-606-6499",
"fax_number": "810-606-7245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "MICHAEL",
"middle_name": "J",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301064575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
- Mi Neurosurgery Clinic PC
- Mi Neurosurgery Clinic PC
- Mi Neurosurgery Clinic PC
- Michael J. Sorscher M.D., P.C.
- Michael Wolfgram DDS PC (Lakeside Dental Associates)
- Andrew Mena Michail, DO
- Michigan Dental Wellness Center PLLC
- Michigan Independent Physicians Association, PLC (Michigan IPA)
- Michigan Lung and Critical Care Specialists, PC
- Michigan Maternal Fetal Medicine PLC
Sources for this page
- 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; Order and Referring.
- 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.