Northstar Anesthesia of Michigan III PLLC
Organization Active NPI Pain Medicine (Anesthesiology) Physician · Irving, TX
NPI 1972126209 · NPPES record last updated May 25, 2021
Key facts
- NPI
- 1972126209
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- Legal business name
- NORTHSTAR ANESTHESIA OF MICHIGAN III PLLC
- Practice address
- 6225 N State Highway 161 Ste 200
Irving, TX 75038-2241 - Phone
- (214) 687-0001
- Fax
- (972) 518-0001
- NPI assigned
- May 21, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Brian P Woods, MD
- Title
- President, Clinical Services
- Phone
- (214) 687-0001
Practitioners 905
-
Brandy Arnold, CRNA
-
Leighann L Nunnally, CRNA
-
Michele Louise Price, CRNA
-
Ariane Toth, CRNA
-
Hassan Abbas, RN
-
Haider Abdulzahra, DNAP
-
Bianca Marie Adair, CRNA
-
Carol C Adamkiewicz, CRNA
-
Timothy Adamovich, CRNA
-
Faiz Ahmed, DO
-
Yusaf Ahmed, MD
-
Zena Berry Alaziz, CRNA
-
Sheyna Bora Ali, CRNA
-
Gheorghe Alion, CRNA
-
Jordan Alkhalidi, CRNA
-
Feda Almallouhi, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200915001990 | MI | Part B Supplier - Clinic/Group Practice | 7911325469 |
Receives reassigned benefits from 903 practitioners Practice locations: Royal Oak, MI; Lenox, MI; Taylor, MI; Trenton, MI; Troy, MI; Wayne, MI; West Bloomfield, MI; Rochester Hills, MI… |
National Provider Directory
Locations
16815 E Jefferson Ave
Ste 1030
Grosse Pointe, MI 48230
1555 South Blvd E
Ste 220
Rochester Hills, MI 48307
4949 Coolidge Hwy
Royal Oak, MI 48073
Phone (248) 655-5660
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | Yes | ||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
6225 N State Highway 161 Ste 200
Irving, TX 75038-2241
Mailing address
6225 N State Highway 161 Ste 200
Irving, TX 75038-2241
Phone (239) 610-0775
Other providers in Irving, TX
- Northstar Anesthesia of California PC
- Northstar Anesthesia of Florida LLC
- Northstar Anesthesia of Indiana II, LLC
- Northstar Anesthesia of Kentucky II PLLC
- Northstar Anesthesia of Michigan II PC
- Northstar Anesthesia of Michigan PLLC
- Northstar Anesthesia of Missouri, LLC
- Northstar Anesthesia of West Virginia, PLLC
- Northstar Clinical Support Solutions, LLC
- Amanda C Norton
All providers in Irving, TX · Pain Medicine (Anesthesiology) Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.