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GREAT LAKES ANESTHESIA
NPI 1518062256
Nurse Anesthetist, Certified Registered in Watervliet, MI

Active since September 14, 2006
400 MEDICAL PARK DR, WATERVLIET, MI 49098(734) 241-3891(734) 241-0014 Get Directions Write a Review

NPPES record last updated: August 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Anesthesia NPPES

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

GREAT LAKES ANESTHESIA (NPI 1518062256) is a healthcare organization registered as a nurse anesthetist, certified registered in Watervliet, Michigan and active in the NPI registry since September 2006. The organization lists Steven Paul Clingerman, President, as its authorized official.

NPPES Registry Identity

NPI1518062256
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameGREAT LAKES ANESTHESIA
Location Address400 MEDICAL PARK DRWatervliet, MI 49098-9225
Mailing Address5623 E Dunbar RdMonroe, MI 48161-9127 · (734) 241-3891 · Fax (734) 241-0014
Phone(734) 241-3891
Fax(734) 241-0014
Organization SubpartNo
Authorized OfficialSteven Paul ClingermanPresident · (734) 241-3891
Enumeration DateSeptember 14, 2006
Last NPPES UpdateAugust 20, 2013
✔ NPI 1518062256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MI · 4704189375
Definition
(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.
400 MEDICAL PARK DR, Watervliet, MI 49098
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Other Identifiers 1

Medicare PIN0M52290MI

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

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.

LAKELAND COMMUNITY HOSPITAL WATERVLIET
Rehabilitation Unit
400 MEDICAL PARK DR
WATERVLIET, MI 49098
Berrien County (269) 463-3111
MEGAN PATRICIA SAMPLES
Clinical Neuropsychologist
400 MEDICAL PARK DR
WATERVLIET, MI 49098
Berrien County (269) 463-3600
DR. ERIKA SUZANNE NEARPASS D.O.
Internal Medicine
400 MEDICAL PARK DR
WATERVLIET, MI 49098
Berrien County (269) 463-3600
FIKILE WENDY MPOFU
Occupational Therapist
400 MEDICAL PARK DR
WATERVLIET, MI 49098
Berrien County (269) 463-2236
DR. CHUL CHANG M.D.
Specialist
400 MEDICAL PARK DR
WATERVLIET, MI 49098
Berrien County (269) 463-2449
SEAN W SULLIVAN DO
Physical Medicine & Rehabilitation
400 MEDICAL PARK DR
WATERVLIET, MI 49098
Berrien County (269) 463-3600
AFF MEDICAL CENTER LNC
Obstetrics & Gynecology
400 MEDICAL PARK DR, SUITE 200
WATERVLIET, MI 49098
Berrien County (269) 463-4000
TIFFANY JOY SHEDLOCK MSS, OTR/L, CAPS
Occupational Therapist (Physical Rehabilitation)
400 MEDICAL PARK DR
WATERVLIET, MI 49098
Berrien County (269) 463-6240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Anesthesia's NPI number?

The NPI number for Great Lakes Anesthesia is 1518062256. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Great Lakes Anesthesia located?

Great Lakes Anesthesia is located at 400 Medical Park Dr, Watervliet, MI 49098. The listed phone number is (734) 241-3891.

What is Great Lakes Anesthesia's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Anesthesia was last updated on August 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.