MR. AA, PA James Edward Green, NPI 1285747378
Anesthesiologist Assistant in Grand Rapids, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1285747378
NPI Entity Type Individual
Provider Name MR. AA, PA James Edward Green
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3333 Evergreen Dr Ne, Grand Rapids, MI, US
Provider Mailing Address 3333 Evergreen Dr Ne, Grand Rapids, MI, US, 495259493
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

367H00000X

Taxonomy Name Anesthesiologist Assistant
Classification

Anesthesiologist Assistant

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. 263
License State MI
Description An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Business Address

MR. AA, PA James Edward Green
3333 Evergreen Dr Ne

Grand Rapids, MI, US

Phone: 616-364-4200
Fax: 616-364-7347

Mailing Address

MR. AA, PA James Edward Green
3333 Evergreen Dr Ne
Grand Rapids, MI, US
ZIP 495259493
Phone: 616-364-4200
Fax: 616-364-7347

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

363A00000X

Physician Assistants & Advanced Practice Nursing Providers

Physician Assistant

5601001816 MI No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
P00343185 MI RAILROAD MEDICARE PIN 01
M73860-008 MI MEDICARE 01
1598712390 MI GROUP NPI 01

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NPI Name Taxonomy Address

1659096923

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7343 Oakhaven Ct Ne

Ada, MI

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