ST JOSEPH MERCY CHELSEA INC
NPI 1023642055
Nurse Anesthetist, Certified Registered in Chelsea, MI

NPI Status: Active since February 28, 2020

Contact Information

775 S MAIN ST
CHELSEA, MI
ZIP 48118
Phone: (734) 593-5898
Fax: (734) 593-5895

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Nurse Anesthetist, Certified Registered
CLIA Number: 23D0715037
CLIA Cert. Type: Hospital
CLIA Exp. Date: 08-31-2026

About ST JOSEPH MERCY CHELSEA INC

This page provides the complete NPI Profile along with additional information for St Joseph Mercy Chelsea Inc, a provider established in Chelsea, Michigan operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1023642055 assigned on February 2020. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 5 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 Michael Gusho (Cfo)

NPI: 1023642055
Provider Name: ST JOSEPH MERCY CHELSEA INC
Entity Type: Organization
Location Address: 775 S MAIN ST CHELSEA, MI 48118
Location Phone: (734) 593-5898
Location Fax: (734) 593-5895
Mailing Address: 20555 VICTOR PKWY LIVONIA, MI 48152
Mailing Phone: (734) 343-0396
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-28-2020
Last Update Date: 02-28-2020
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Location Map

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
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.

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: MICHAEL GUSHO
Authorized Official Title: CFO
Authorized Official Phone: (734) 343-0396

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 23D0715037
Facility Type: Hospital
Certificate Effective Date: September 01, 2024
Certificate Expiration Date: August 31, 2026
Laboratory Director: CHERYL TAYLOR
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to St Joseph Mercy Chelsea Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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.
1	0	2	3	6	4	2	0	5	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	4	3	12	4	4	0	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 2 + 4 + 4 + 0 + 1 + 0 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 5									5

The NPI number 1023642055 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DOUGLAS MARTIN PORTZ M.D.

Obstetrics & Gynecology

(Gynecology)

775 S MAIN ST
CHELSEA, MI
ZIP 48118

About ST JOSEPH MERCY CHELSEA INC

Location Map

Specialty - Primary Taxonomy

Nurse Anesthetist, Certified Registered

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

Authorized Official

MICHAEL GUSHO

CLIA Information

Reviews for ST JOSEPH MERCY CHELSEA INC

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is ST JOSEPH MERCY CHELSEA INC's NPI number?

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What is the provider's specialty?