Active NPI
Tanya Czubatyj, CRNA
- Certified Registered Nurse Anesthetist
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704225015
- Practice address
- 3601 W 13 Mile Rd
400 FSC - PCS
Royal Oak, MI 48073-6769 - Phone
- (248) 423-3144
- NPI assigned
- Mar 10, 2006
- Sex
- Female
- 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 | 4704225015 | MI | Primary |
Addresses
Primary practice location
3601 W 13 Mile Rd
400 FSC - PCS
Royal Oak, MI 48073-6769
Mailing address
3601 W 13 Mile Rd
400 FSC - PCS
Royal Oak, MI 48073-6769
Phone (248) 423-3144
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430F364420 | Other | MI | BCBSM |
| 4772427 | 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, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (214) 687-0001
33155 Annapolis St
Wayne, MI 48184-2405
Phone (214) 687-0001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704225015 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambulatory Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Environ Anesthesia, LLC. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford West Bloomfield Hospital | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Botsford General Hospital | Current | Accepting new patients | |
| Northwestern Services, LLC | Current | Accepting new patients | |
| William Beaumont Hospital | Current | Accepting new patients | |
| Henry Ford West Bloomfield Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northwestern Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Superior Anesthetists Associates, Inc. | Current | Accepting new patients | |
| Botsford General Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Eastside Group LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Michigan Crnas Staffing LLC | Current | Accepting new patients | |
| William Beaumont Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients |
Locations
949 National Ave
Ste 151
Lexington, KY 40502
Phone (859) 509-8399
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
17000 Executive Plaza Dr
Ste 301
Dearborn, MI 48126
Phone (313) 408-6613
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000
30055 Northwestern Hwy
Ste L-60
Farmington Hills, MI 48334
Phone (248) 265-6555
17700 23 Mile Rd
Ste 250
Macomb, MI 48044
Phone (586) 416-7500
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
43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658
326 N Main St
Royal Oak, MI 48067
Phone (248) 584-7600
3601 W 13 Mile Rd
#400
Royal Oak, MI 48073
Phone (248) 423-2481
3601 W 13 Mile Rd
Royal Oak, MI 48073
5400 Mackinaw Rd
Ste 6100
Saginaw, MI 48604
Phone (989) 792-3100
29110 Inkster Rd
Ste 100
Southfield, MI 48034
Phone (248) 234-9300
28963 Little Mack Ave
Ste 103
St Clr Shores, MI 48081
Phone (586) 447-5110
28963 Little Mack Ave
Ste 10
St Clr Shores, MI 48081
Phone (586) 447-5110
230 W Maple Rd
Troy, MI 48084
Phone (248) 244-1500
4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600
4550 Investment Dr
Troy, MI 48098
Phone (248) 265-4600
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000
Organizations & group practices 16
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.
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Monroe, MI
- NPI 1952350555
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Farmington Hills, MI
- NPI 1235179664
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saint Clair Shores, MI
- NPI 1235365289
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1871666479
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- West Bloomfield, MI
- NPI 1518104686
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Novi, MI
- NPI 1851666424
-
- Certified Registered Nurse Anesthetist
- Farmington Hills, MI
- NPI 1215106679
Nurse Anesthetist, Certified Registered
-
- Specialist
- Troy, MI
- NPI 1831144518
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1831438092
MI, Nurse Anesthetist, Certified Registered
-
- Urgent Care Clinic/Center
- Redford, MI
- NPI 1831402056
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Taylor, MI
- NPI 1487605168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238025600000",
"number": "1881662294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 W 13 MILE RD",
"address_2": "400 FSC - PCS",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736769",
"telephone_number": "248-423-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W 13 MILE RD",
"address_2": "400 FSC - PCS",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736769",
"telephone_number": "248-423-3144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZUBATYJ",
"first_name": "TANYA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2009-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704225015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "430F364420",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4772427",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.