OTSEGO MEMORIAL HOSPITAL CRNA
NPI 1376568865
Nurse Anesthetist, Certified Registered in Gaylord, MI

NPI Status: Active since July 13, 2006

Contact Information

825 N CENTER AVE
GAYLORD, MI
ZIP 49735
Phone: (989) 731-2100
Fax: (989) 731-2205

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  • Organization
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance

About OTSEGO MEMORIAL HOSPITAL CRNA

This page provides the complete NPI Profile along with additional information for Otsego Memorial Hospital Crna, a provider established in Gaylord, Michigan operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1376568865 assigned on July 2006. 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 Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Otsego Memorial Hospital Crna. The authorized official of this NPI record is Alicia Maitland (Cfo)

NPI
1376568865
Provider Legal Name
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Other Organization Name
OTSEGO MEMORIAL HOSPITAL CRNA
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
825 N CENTER AVE GAYLORD, MI 49735
Location Phone
(989) 731-2100
Location Fax
(989) 731-2205
Mailing Address
825 N CENTER AVE GAYLORD, MI 49735
Mailing Phone
(989) 731-2100
Mailing Fax
(989) 731-2205
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-13-2006
Last Update Date
09-22-2021
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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
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:

  • 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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

ALICIA MAITLAND

Authorized Official Title
CFO
Authorized Official Phone
(231) 935-7840

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
430F910100OTHER (01)MIBS

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376568865, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 1 + 0 + 6 + 1 + 6 + 8 + 1 + 2 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1376568865.

Other Providers at the Same Location


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

Physician Assistant
825 N CENTER AVE
GAYLORD, MI 49735
Anesthesiology
825 N CENTER AVE
GAYLORD, MI 49735
Nurse Anesthetist, Certified Registered
825 N CENTER AVE
GAYLORD, MI 49735
Nurse Anesthetist, Certified Registered
825 N CENTER AVE
GAYLORD, MI 49735
Nurse Anesthetist, Certified Registered
825 N CENTER AVE
GAYLORD, MI 49735
Anesthesiology
825 N CENTER AVE
GAYLORD, MI 49735
Emergency Medicine (Emergency Medical Services)
825 N CENTER AVE
GAYLORD, MI 49735
Emergency Medicine (Emergency Medical Services)
825 N CENTER AVE
GAYLORD, MI 49735
Pharmacist
825 N CENTER AVE
GAYLORD, MI 49735
Nurse Anesthetist, Certified Registered
825 N CENTER AVE
GAYLORD, MI 49735
Nurse Anesthetist, Certified Registered
825 N CENTER AVE
GAYLORD, MI 49735
Pharmacist
825 N CENTER AVE
GAYLORD, MI 49735
Physical Therapist
825 N CENTER AVE
GAYLORD, MI 49735
Physical Therapist
825 N CENTER AVE
GAYLORD, MI 49735
Emergency Medicine (Emergency Medical Services)
825 N CENTER AVE
GAYLORD, MI 49735
Physician Assistant
825 N CENTER AVE
GAYLORD, MI 49735
Occupational Therapist
825 N CENTER AVE
GAYLORD, MI 49735
Occupational Therapist
825 N CENTER AVE
GAYLORD, MI 49735
Occupational Therapist (Hand)
825 N CENTER AVE
GAYLORD, MI 49735
Occupational Therapist (Physical Rehabilitation)
825 N CENTER AVE
GAYLORD, MI 49735

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376568865, enumerated as an "organization" on July 13, 2006.

The provider is located at 825 N CENTER AVE GAYLORD, MI 49735 and the phone number is (989) 731-2100.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Medicare and. Please consult your insurance carrier or call the provider to verify.