Active NPI
Austin Scott Macdonald, RN
- Certified Registered Nurse Anesthetist
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1770155749
- Practice address
- 29188 Lancaster Dr Apt 206
Southfield, MI 48034-1442 - Phone
- (810) 623-7078
- NPI assigned
- Jul 10, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704321259 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 1770155749 | MI | Primary |
Addresses
Primary practice location
29188 Lancaster Dr Apt 206
Southfield, MI 48034-1442
Mailing address
29188 Lancaster Dr Apt 206
Southfield, MI 48034-1442
Phone (810) 623-7078
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, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (214) 687-0001
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704321259 | MI | MD | Registered Nurse |
| 1770155749 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
3601 W 13 Mile Rd
Royal Oak, MI 48073
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
Organizations & group practices 1
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.
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1770155749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29188 LANCASTER DR APT 206",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341442",
"telephone_number": "810-623-7078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29188 LANCASTER DR APT 206",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341442",
"telephone_number": "810-623-7078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "AUSTIN",
"middle_name": "SCOTT",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-10",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704321259",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "1770155749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.