Individual provider Active NPI

Maxwell Edem Dogbatse, CRNA

  • Certified Registered Nurse Anesthetist
  • Livonia, MI
National Provider Identifier
1831613587
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704292537 Issued in MI
Practice address
36475 Five Mile Rd
Livonia, MI 48154-1971
Phone
(734) 655-4800
NPI assigned
Aug 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 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 4704292537 MI Primary

Addresses

Primary practice location

36475 Five Mile Rd
Livonia, MI 48154-1971

Mailing address

44717 Fenwick Dr
Canton, MI 48188-3245
Phone (313) 633-4499

Other practice location 1

36622 Five Mile Rd Ste 201
Livonia, MI 48154-1900
Phone (734) 655-8270

Other practice location 2

1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000

Other practice location 3

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-9220

Other practice location 4

46325 W Twelve Mile Rd Ste 100
Novi, MI 48377-2457
Phone (248) 465-9220

Other practice location 5

36650 Five Mile Rd Ste 101
Livonia, MI 48154-1956
Phone (734) 434-6262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170912001381 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820361983 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Challenge Anesthesia Staffing LLCGroup PAC ID 8224479332, 21 clinicians
Asa Staffing IncGroup PAC ID 3971898644, 146 clinicians
St Mary Mercy Hospital CrnaGroup PAC ID 8820163538, 41 clinicians

Practice addresses (Care Compare)

168 S Howell St
Hillsdale Hospital
Hillsdale, MI 49242-2040
Phone (517) 437-4451

1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000

36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-2909

Hospital & facility affiliations

  • Hillsdale Hospital Hospital, Hillsdale, MI, CCN 230037
  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • McLaren Bay Region Hospital, Bay City, MI, CCN 230041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704292537MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Challenge Anesthesia Staffing LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 25, 2025 Accepting new patients
Asa Staffing Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 28, 2017 Accepting new patients
St Mary Mercy Hospital Current Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Jul 1, 2022 Accepting new patients
St Mary Mercy Hospital Crna Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2023 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Dec 9, 2019 Accepting new patients
Wa Foote Memorial Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 9, 2019 Accepting new patients
Mymichigan Medical Center Saginaw Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Resource Anesthesiology Associates of Mi PC CurrentSince Apr 30, 2023 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 19, 2023 Accepting new patients

Locations

350 E Devon Ave
Itasca, IL 60143

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

205 S East Ave
Jackson, MI 49201
Phone (517) 205-2103

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

36650 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 434-6262

36622 5 Mile Rd
Ste 201
Livonia, MI 48154
Phone (734) 351-5272

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

926 N Michigan Ave
Saginaw, MI 48602
Phone (517) 753-8453

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

301 N Main St
Sheridan, MI 48884
Phone (989) 291-3261

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1831613587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44717 FENWICK DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883245",
            "telephone_number": "313-633-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36475 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541971",
            "telephone_number": "734-655-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36622 Five Mile Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541900",
            "country_code": "US",
            "telephone_number": "734-655-8270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487086831",
            "country_code": "US",
            "telephone_number": "989-894-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47601 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483741233",
            "country_code": "US",
            "telephone_number": "248-465-9220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46325 W Twelve Mile Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483772457",
            "country_code": "US",
            "telephone_number": "248-465-9220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36650 Five Mile Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541956",
            "country_code": "US",
            "telephone_number": "734-434-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOGBATSE",
        "first_name": "MAXWELL",
        "middle_name": "EDEM",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704292537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.