Michigan Critical Care Anesthesiology

Primary specialty

Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X

Legal business name

MICHIGAN CRITICAL CARE ANESTHESIOLOGY

Doing business as

Michigan CCA PLC

Practice address

18101 Oakwood Blvd
Dearborn, MI 48124-4089

Phone

(313) 359-3539

NPI assigned

Mar 8, 2011

Organization subpart

No

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

Authorized official

Name

Krassimir Denchev, MD

Title

Owner

Phone

(313) 359-3539

Specialties & licenses 1

Addresses

Other names 1

• Michigan CCA PLC Doing business as

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1750689121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 VIRGIL ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244089",
            "telephone_number": "313-359-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN CRITICAL CARE ANESTHESIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "DENCHEV",
        "authorized_official_first_name": "KRASSIMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-359-3539",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan CCA PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Critical Care Medicine (Anesthesiology) Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Critical Care Medicine (Anesthesiology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.