Active NPI
Tamara Davila, CRNA
- Certified Registered Nurse Anesthetist
- Clarkston, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704248191
- Practice address
- 6628 College Park
Clarkston, MI 48346-1065 - Phone
- (248) 563-6323
- NPI assigned
- Dec 22, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704248191 | MI | Primary |
Addresses
Primary practice location
6628 College Park
Clarkston, MI 48346-1065
Mailing address
6628 College Park
Clarkston, MI 48346-1065
Phone (248) 563-6323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 987-5000
3337 Britton Rd
Perry, MI 48872-9706
Phone (517) 625-3004
4599 Towne Centre Rd
Saginaw, MI 48604-2804
Phone (734) 421-3300
5202 Miller Rd
Flint, MI 48507-1040
Phone (810) 732-7700
721 N Shiawassee St
Owosso, MI 48867-1632
826 W King St
Owosso, MI 48867-2120
Hospital & facility affiliations
- Memorial Healthcare
- Straith Hospital for Special Surgery
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Anesthetists Associates, Inc. | Current | Accepting new patients | |
| Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health St. John Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Long Lake Anesthesiology Consultants, PLC | Current | Accepting new patients | |
| Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Asa Staffing Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Memorial Hospital | Past | Accepting new patients | |
| Waterford Surgical Center, LLC | Past | Accepting new patients |
Locations
2009 Momentum Pl
Chicago, IL 60689
7915 Solutions Ctr Dr
Chicago, IL 60677
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
5202 Miller Rd
Flint, MI 48507
Phone (810) 720-8900
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
920 River Centre Dr
Port Huron, MI 48060
Phone (810) 984-5200
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
4550 Investment Dr
Troy, MI 48098
Phone (248) 265-4600
4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600
2300 Haggerty Rd
Ste 2100
West Bloomfield, MI 48323
Phone (248) 624-7246
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Rochester, MI
- NPI 1114378981
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Troy, MI
- NPI 1194812651
-
- General Practice Physician
- Owosso, MI
- NPI 1235160532
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1598896995
Nurse Anesthetist, Certified Registered
-
- Specialist
- Troy, MI
- NPI 1831144518
-
- Anesthesiology Physician
- Rochester Hills, MI
- NPI 1396397741
-
- Anesthesiology Physician
- Dearborn, MI
- NPI 1457058125
-
- Anesthesiology Physician
- Saginaw, MI
- NPI 1740152412
-
- Anesthesiology Physician
- Owosso, MI
- NPI 1659527737
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
-
- General Practice Physician
- Owosso, MI
- NPI 1316008006
-
- Ambulatory Surgical Clinic/Center
- Waterford, MI
- NPI 1467788729
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Owosso, MI
- NPI 1063414233
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1548268436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1760628713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6628 COLLEGE PARK",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483461065",
"telephone_number": "248-563-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6628 COLLEGE PARK",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483461065",
"telephone_number": "248-563-6323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVILA",
"first_name": "TAMARA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-22",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704248191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.