Individual provider Active NPI

Gregory E Punches, M.D.

  • Anesthesiology Physician
  • Clinton Township, MI
National Provider Identifier
1912937335
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301077905 Issued in MI
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

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4814222-10MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
GP077905MIMDSpecialist
4301077905MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Punches PLLC Anesthesiology CurrentSince Feb 24, 2025 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.

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 7 clinicians

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

Verify at the official NPI Registry.