LAKESHORE ANESTHESIA STAFFING LLC
NPI 1255781019
Nurse Anesthetist, Certified Registered in Saint Joseph, MI

NPI Status: Active since June 13, 2016

Contact Information

2848 NILES RD
SAINT JOSEPH, MI
ZIP 49085
Phone: (269) 932-4388

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  • Organization
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance

About LAKESHORE ANESTHESIA STAFFING LLC

This page provides the complete NPI Profile along with additional information for Lakeshore Anesthesia Staffing Llc, a provider established in Saint Joseph, Michigan operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1255781019 assigned on June 2016. The practitioner's primary taxonomy code is 367500000X with license number E8460D (MI). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Marcus A Gardiner Crna (Sole Mbr)

NPI
1255781019
Provider Name
LAKESHORE ANESTHESIA STAFFING LLC
Entity Type
Organization
Location Address
2848 NILES RD SAINT JOSEPH, MI 49085
Location Phone
(269) 932-4388
Mailing Address
PO BOX 1296 WARSAW, IN 46581
Mailing Phone
(574) 268-9640
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-13-2016
Last Update Date
06-13-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
E8460D
License State
MI
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • MHP Bronze - HMO
  • MHP Bronze Saver (Expanded) - HMO
  • MHP Expanded Bronze Standard - HMO
  • MHP Gold - HMO
  • MHP Gold Standard - HMO
  • MHP Silver Exchange - HMO
  • MHP Silver Exchange Rewards - HMO
  • MHP Silver Standard - HMO
  • MHP Young Adult/Catastrophic - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARCUS A GARDINER CRNA

Authorized Official Title
SOLE MBR
Authorized Official Phone
(231) 225-5216

Reviews for LAKESHORE ANESTHESIA STAFFING LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255781019
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105148202
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 4 + 8 + 2 + 0 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1255781019 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942205315DR. DAVID LOCKE COOKE M.D.
Individual
Ophthalmology2848 NILES RD
SAINT JOSEPH, MI 49085
(269) 428-3300
1003273129GREAT LAKES SURGERY CENTER LLC
Organization
Clinic/Center (Ambulatory Surgical)2848 NILES RD SUITE B
SAINT JOSEPH, MI 49085
(269) 428-3304
1194216937DR. DANIEL JAMES VAN ELK OD
Individual
Optometrist2848 NILES RD
SAINT JOSEPH, MI 49085
(269) 428-3300
1265437370DR. DAVID NEAL BROWN M.D.
Individual
Ophthalmology2848 NILES RD
SAINT JOSEPH, MI 49085
(269) 428-3300
1427053826DR. STANLEY W PLETCHER M.D.
Individual
Ophthalmology2848 NILES RD
SAINT JOSEPH, MI 49085
(269) 428-3300
1548265879DR. JOHN W. MAROHN O.D.
Individual
Optometrist2848 NILES RD
SAINT JOSEPH, MI 49085
(269) 428-3300
1639528599 RIKKI S ENZOR MD, PHD
Individual
Ophthalmology2848 NILES RD
SAINT JOSEPH, MI 49085
(269) 428-3300
1700881166DR. RONALD L. MCKEY M.D.
Individual
Ophthalmology2848 NILES RD
SAINT JOSEPH, MI 49085
(269) 428-3300
1801282249 JASON MIN SO MD
Individual
Ophthalmology (Retina Specialist)2848 NILES RD
SAINT JOSEPH, MI 49085
(269) 428-3300
1922002708GREAT LAKES EYE CARE PC
Organization
Ophthalmology2848 NILES RD
SAINT JOSEPH, MI 49085
(269) 428-3300
1992701098DR. ANDREW MANONGDO WANG M.D.
Individual
Ophthalmology2848 NILES RD
SAINT JOSEPH, MI 49085
(269) 428-3300
1003016916DR. BENJAMIN P NICHOLSON M.D., M.A.
Individual
Ophthalmology (Retina Specialist)2848 NILES RD
SAINT JOSEPH, MI 49085
(269) 428-3300
1306841630DR. DUANE ALLEN TOLSMA O.D.
Individual
Optometrist2848 NILES RD
SAINT JOSEPH, MI 49085
(269) 428-3300
1538917596DR. KYLE G LINDBERG OD
Individual
Optometrist2848 NILES RD
SAINT JOSEPH, MI 49085
(269) 428-3300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255781019, enumerated in the NPI registry as an "organization" on June 13, 2016

The provider is located at 2848 Niles Rd Saint Joseph, Mi 49085 and the phone number is (269) 932-4388

This medical organization specializes in Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 13, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.