Active NPI
Samuel S. Wood, CRNA
- Certified Registered Nurse Anesthetist
- Clinton TWP, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704217421
- Practice address
- 15855 19 Mile Rd
Clinton TWP, MI 48038-3504 - Phone
- (586) 263-2370
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- 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 | 4704217421 | MI | Primary |
Addresses
Primary practice location
15855 19 Mile Rd
Clinton TWP, MI 48038-3504
Mailing address
618 N Riverside Ave
Saint Clair, MI 48079-5416
Phone (810) 637-8046
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW217421 | Other | MI | BLUE CROSS |
| 4402533 | Medicaid | MI | |
| 459361310 | Medicaid | MI |
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry Ford Macomb Hospital Corporation
Practice addresses (Care Compare)
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300
800 S Washington Ave
Saginaw, MI 48601-2551
Phone (989) 907-8200
Hospital & facility affiliations
- Mymichigan Medical Center Saginaw
- Henry Ford Macomb Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704217421 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Macomb Anesthesia, PC | Current | Accepting new patients | |
| Henry Ford Health River District Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Resource Anesthesiology Associates of Mid Michigan PC | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health River District Hospital | Current | Accepting new patients | |
| Resource Anesthesiology Associates of Mi PC | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Eastern District Anesthesiology PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St. Joseph Mercy Hospital Crna Group | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
7967 Solutions Ctr Dr
Chicago, IL 60677
30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000
15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800
43475 Dalcoma Dr
Ste 100
Clinton Twp, MI 48038
Phone (586) 263-5043
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
4100 S River Rd
East China, MI 48054
Phone (810) 329-6677
4466 W Bristol Rd
Fl 2
Flint, MI 48507
Phone (810) 250-4866
4190 24th Ave
Fort Gratiot, MI 48059
Phone (810) 216-4300
215 North Ave
Mount Clemens, MI 48043
Phone (586) 307-9010
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500
1349 S Rochester Rd
Ste 250
Rochester Hills, MI 48307
Phone (248) 601-0040
4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000
800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000
Interoperability endpoints
- swood6379@direct.hfhs.org
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.
-
- Anesthesiology Physician
- Saginaw, MI
- NPI 1568755882
-
- Anesthesiology Physician
- Rochester Hills, MI
- NPI 1396397741
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- East China, MI
- NPI 1225102569
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Clinton Township, MI
- NPI 1528130739
Nurse Anesthetist, Certified Registered
-
- Nurse Practitioner
- Chesterfield, MI
- NPI 1952440521
-
- Anesthesiology Physician
- Clinton Township, MI
- NPI 1639248206
-
- Anesthesiology Physician
- Saginaw, MI
- NPI 1104617786
-
- Anesthesiology Physician
- Saginaw, MI
- NPI 1740152412
-
- General Acute Care Hospital
- East China, MI
- NPI 1619941333
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- Neonatal Nurse Practitioner
- Clinton Township, MI
- NPI 1912301094
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Pontiac, MI
- NPI 1568493047
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
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1871507509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1811098924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 N RIVERSIDE AVE",
"city": "SAINT CLAIR",
"state": "MI",
"postal_code": "480795416",
"telephone_number": "810-637-8046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15855 19 MILE RD",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480383504",
"telephone_number": "586-263-2370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "SAMUEL",
"middle_name": "S.",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704217421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "SW217421",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4402533",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "459361310",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.