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SOUTHGATE ALLIED ANESTHESIA PLLC
NPI 1689046070
Anesthesiologist Assistant in Southgate, MI

Active since October 24, 2015
13460 FORT ST, SOUTHGATE, MI 48195(313) 263-5961(313) 263-5963 Get Directions Write a Review

NPPES record last updated: October 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southgate Allied Anesthesia Pllc NPPES

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

SOUTHGATE ALLIED ANESTHESIA PLLC (NPI 1689046070) is a healthcare organization registered as an anesthesiologist assistant in Southgate, Michigan and active in the NPI registry since October 2015. The organization lists Atif Bawahab, Admin, as its authorized official.

NPPES Registry Identity

NPI1689046070
Entity TypeOrganization
Primary Taxonomy367H00000X
Legal Business NameSOUTHGATE ALLIED ANESTHESIA PLLC
Location Address13460 FORT STSouthgate, MI 48195-1138
Mailing AddressPo Box 2071Southgate, MI 48195-4071 · (313) 263-5961 · Fax (313) 263-5963
Phone(313) 263-5961
Fax(313) 263-5963
Organization SubpartNo
Authorized OfficialAtif BawahabAdmin · (979) 574-7109
Enumeration DateOctober 24, 2015
✔ NPI 1689046070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in MI · 4704090801
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
13460 FORT ST, Southgate, MI 48195
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

Other Providers at the Same Location NPPES 3

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

INTERVENTIONAL PAIN SPECIALISTS OF MICHIGAN PLLC
Pain Medicine (Interventional Pain Medicine)
13460 FORT ST
SOUTHGATE, MI 48195
Wayne County (313) 263-5961
STRATEGY ANESTHESIA MICHIGAN PLLC
Pain Medicine (Interventional Pain Medicine)
13460 FORT ST
SOUTHGATE, MI 48195
Wayne County (703) 665-3046
STARWOOD PRECISION ANESTHESIA PLLC
Anesthesiologist Assistant
13460 FORT ST
SOUTHGATE, MI 48195
Wayne County (888) 551-2288

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 Southgate Allied Anesthesia PLLC's NPI number?

The NPI number for Southgate Allied Anesthesia PLLC is 1689046070. It was assigned to this organization in the NPPES registry on October 24, 2015.

Where is Southgate Allied Anesthesia PLLC located?

Southgate Allied Anesthesia PLLC is located at 13460 Fort St, Southgate, MI 48195. The listed phone number is (313) 263-5961.

What is Southgate Allied Anesthesia PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

What insurance does Southgate Allied Anesthesia PLLC accept?

Health plans from McLaren Health Plan Community list Southgate Allied Anesthesia PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southgate Allied Anesthesia PLLC was last updated on October 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.