Active NPI
Town Center Mda
- Anesthesiology Physician
- Novi, MI
National Provider Identifier
1851776975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 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 DirectoryLocations
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.
-
- Interventional Pain Medicine Physician
- Brownstown, MI
- NPI 1750335188
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.