Individual provider Active NPI

Edwardo Thomas Munoz, CRNA

  • Certified Registered Nurse Anesthetist
  • Clare, MI
National Provider Identifier
1770546608
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704200588 Issued in MI
Practice address
703 N McEwan St
Clare, MI 48617-1440
Phone
(989) 802-5000
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704200588 MI Primary

Addresses

Primary practice location

703 N McEwan St
Clare, MI 48617-1440

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956

Other practice location 1

4646 John R St
Detroit, MI 48201-1916
Phone (313) 576-1000 ext. 64034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040317000131 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658261490 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center West BranchGroup PAC ID 7214251081, 75 clinicians
Monaco Management LLCGroup PAC ID 9739577461, 37 clinicians
Mymichigan Medical Center GladwinGroup PAC ID 0143262915, shared by 5 NPIs, 66 clinicians
Mymichigan Medical Center ClareGroup PAC ID 7012829773, 128 clinicians

Practice addresses (Care Compare)

2463 S M
Suite 30
West Branch, MI 48661-9312
Phone (989) 345-3660

3663 N Country Dr
Alliance Surgery Ctr
Traverse City, MI 49684-4587
Phone (231) 252-1228

515 Quarter St
Gladwin, MI 48624-1959
Phone (989) 426-9286

703 N McEwan St
Clare, MI 48617-1440
Phone (989) 802-5000

Hospital & facility affiliations

  • Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center West Branch Current Accepting new patients
Monaco Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 21, 2025 Accepting new patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2012 Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Apr 24, 2025 Accepting new patients
Mymichigan Medical Center Gladwin Current Accepting new patients
The Digestive Endoscopy Center of Michigan LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2011 Accepting new patients
Mymichigan Medical Center West Branch Nurse Anesthetist, Certified Registered CurrentSince Apr 24, 2025 Accepting new patients
The Digestive Endoscopy Center of Michigan LLC Current Accepting new patients
Radius Anesthesia of Michigan PLLC CurrentSince Apr 1, 2025 Accepting new patients
Detroit Anesthesia Services PLLC CurrentSince Apr 1, 2025 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Apr 1, 2026 Accepting new patients
Detroit Osteopathic Hospital Corporation Nurse Anesthetist, Certified Registered Past Accepting new patients
American Anesthesiology Associates of Michigan, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

1121 W Hill Rd
Flint, MI 48507
Phone (810) 232-8888

6240 Rashelle Dr
Ste 101
Flint, MI 48507
Phone (810) 600-4000

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

31235 Harper Ave
St Clr Shores, MI 48082
Phone (267) 817-8902

3663 N Country Dr
Traverse City, MI 49684
Phone (231) 252-1228

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1770546608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "844-832-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N MCEWAN ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171440",
            "telephone_number": "989-802-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4646 John R St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482011916",
            "country_code": "US",
            "telephone_number": "313-576-1000 x64034",
            "fax_number": "313-576-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "EDWARDO",
        "middle_name": "THOMAS",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704200588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clare, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.

Verify at the official NPI Registry.