AMC MOBILE
NPI 1376868372
Anesthesiology in Grand Rapids, MI

Q: What is Amc Mobile Anesthesia, PC's NPI number?

The NPI number for Amc Mobile Anesthesia, PC is 1376868372. It was assigned to this organization in the NPPES registry on April 1, 2010. The provider is also known as Amc Mobile.

Q: What is Amc Mobile Anesthesia, PC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Active since April 01, 2010CLIA 23D2008765 · Waiver

3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 284-3180(616) 284-3181 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Amc Mobile NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMC MOBILE (NPI 1376868372) is a healthcare organization registered as an anesthesiology in Grand Rapids, Michigan and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through June 16, 2028 and lists James F Vandam, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1376868372

Entity TypeOrganization

Primary Taxonomy207L00000X

Legal Business NameAMC MOBILE ANESTHESIA, PC

Location Address3333 EVERGREEN DR NEGrand Rapids, MI 49525-9493

Mailing Address3333 Evergreen Dr NeGrand Rapids, MI 49525-9493 · (616) 284-3180 · Fax (616) 284-3181

Phone(616) 284-3180

Fax(616) 284-3181

Organization SubpartYesParent: West Michigan Anesthesia Anesthesia, Pc

Authorized OfficialJames F VandamExecutive Director · (616) 284-3100

Enumeration DateApril 1, 2010

Last NPPES UpdateOctober 23, 2012

✔ NPI 1376868372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

3333 EVERGREEN DR NE, Grand Rapids, MI 49525

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Other Names 1

Other NameAmc Mobile

Other Identifiers 2

Other0D10334MI · Bcbs Grp Pin

Medicare PINMI4229MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2008765

Amc Mobile Anesthesia · Grand Rapids, MI

Active · expires Jun 16, 2028

CLIA Number23D2008765

Laboratory TypeMobile Anesthesia Unit

Certificate Effective DateJune 17, 2026

Certificate Expiration DateJune 16, 2028

Laboratory DirectorCandace L. Brotherton

Laboratory Phone(616) 284-3142

Laboratory LocationAmc Mobile Anesthesia3333 Evergreen Drive NE, Grand Rapids, MI 49525

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JEFFREY RYAN HALL AA

Anesthesiologist Assistant