Organization Active NPI

Town Center Mda

  • Anesthesiology Physician
  • Novi, MI
National Provider Identifier
1851776975
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
TOWN CENTER MDA
Practice address
43422 W Oaks Dr # 332
Novi, MI 48377-3300
Phone
(248) 229-4658
Fax
(248) 565-2495
NPI assigned
Jul 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Mr. Christopher Youst, CRNA
Title
Owner
Phone
(248) 565-2495

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
Phone (248) 229-4658

National Provider Directory

National Provider Directory

Locations

130 Town Center Dr
Ste 1
Troy, MI 48084
Phone (248) 680-9101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1851776975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43422 W OAKS DR # 332",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773300",
            "telephone_number": "248-229-4658",
            "fax_number": "248-565-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43422 W OAKS DR # 332",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773300",
            "telephone_number": "248-229-4658",
            "fax_number": "248-565-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN CENTER MDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "YOUST",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-565-2495",
        "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 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.