NPIMap

Organization Active NPI

Michigan Crnas Staffing LLC

  • Anesthesiology Physician
  • Novi, MI
National Provider Identifier
1851666424
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MICHIGAN CRNAS STAFFING LLC
Practice address
43422 W Oaks Dr
#332
Novi, MI 48377-3300
Phone
(248) 378-4100
NPI assigned
Mar 15, 2012
Last updated
Jan 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Mr. Chris Youst, CRNA
Title
Authorized Official
Phone
(248) 470-9986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

43422 W Oaks Dr
#332
Novi, MI 48377-3300

Mailing address

43422 W Oaks Dr
#332
Novi, MI 48377-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120920000441 MI Part B Supplier - Clinic/Group Practice 7416105226 Receives reassigned benefits from 151 practitioners
Practice locations: Novi, MI; Oak Park, MI; Rochester Hills, MI; Royal Oak, MI; Southfield, MI; St Claire Shores, MI; Troy, MI; Warren, MI…

National Provider Directory

National Provider Directory

Locations

3800 Centennial Dr
Grass Lake, MI 49240
Phone (517) 701-3100

1030 N Monroe St
Ste 2
Monroe, MI 48162
Phone (734) 682-3309

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

Practitioners & affiliated clinicians

Practitioners 153

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 153

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1851666424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43422 W OAKS DR",
            "address_2": "#332",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43422 W OAKS DR",
            "address_2": "#332",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773300",
            "telephone_number": "248-378-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN CRNAS STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "YOUST",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "248-470-9986",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.