Ronald M Justin, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704097573 Issued in MI

Practice address

1900 Columbus Ave
Bay City, MI 48708-6831

Phone

(989) 894-3820

Fax

(989) 891-0497

NPI assigned

Jan 31, 2007

Last updated

Jun 3, 2010By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Michigan Anesthesia Care One PC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1386976090

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1760529440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487070116",
            "telephone_number": "989-894-3820",
            "fax_number": "989-891-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 COLUMBUS AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086831",
            "telephone_number": "989-894-3820",
            "fax_number": "989-891-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTIN",
        "first_name": "RONALD",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704097573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4308754130",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4851665",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Journey Counseling Center, LLC
• Tiana Rae Joyner
• Lydia Grace Julian
• Audra Jungnitsch
• Just Medical Care Mi PC
• K Mohan MD PC
• K.a.R.N. Inc.
• Allison Kaczmarczyk
• Rachael Kaiponen
• Timmy Joe Kajdan

• Certified Registered Nurse Anesthetist in Bay City, MI
• Providers in Bay City, 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 Jun 3, 2010; 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.