Active NPI
Gregory E Punches, M.D.
- Anesthesiology Physician
- Clinton Township, MI
National Provider Identifier
1912937335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301077905
- Practice address
- 16100 19 Mile Rd
Clinton Township, MI 48038-1148 - Phone
- (248) 858-3051
- Fax
- (248) 858-3022
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | GP077905 | MI | |
| Anesthesiology Physician | 207L00000X | 4301077905 | MI | Primary |
Addresses
Primary practice location
16100 19 Mile Rd
Clinton Township, MI 48038-1148
Mailing address
8775 Miller Rd
Clarkston, MI 48348-2545
Phone (248) 858-3051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4814222-10 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060110000523 | MI | Practitioner - Anesthesiology | 2860415460 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GP077905 | MI | MD | Specialist |
| 4301077905 | MI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory Punches PLLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Michigan PC | Anesthesiology | Past | Accepting new patients |
| Northstar Anesthesia of Michigan II PC | Anesthesiology | Past | Accepting new patients |
| United Pain Therapies PLLC | Anesthesiology | Past | Accepting new patients |
| Waterford Surgical Center, LLC | Past | Accepting new patients |
Locations
1546 Callis Rd
Lapeer, MI 48446
Phone (810) 667-4000
1546 Callis Rd
#L
Lapeer, MI 48446
Phone (810) 667-4000
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Royal Oak, MI
- NPI 1487609475
Anesthesiology
-
- Interventional Pain Medicine Physician
- Canton, MI
- NPI 1427483403
Anesthesiology
-
- Ambulatory Surgical Clinic/Center
- Waterford, MI
- NPI 1467788729
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
Anesthesiology
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Wayne State University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gregory Punches, PLLC
Practice addresses (Care Compare)
1546 Callis Rd
Lapeer, MI 48446-7505
Phone (810) 667-4000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1912937335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8775 MILLER RD",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483482545",
"telephone_number": "248-858-3051",
"fax_number": "248-858-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16100 19 MILE RD",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381148",
"telephone_number": "248-858-3051",
"fax_number": "248-858-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUNCHES",
"first_name": "GREGORY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "GP077905",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301077905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4814222-10",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.