St Mary Mercy Hospital CRNA
NPI 1063602092ActiveOrganization· Nurse Anesthetist, Certified Registered· Livonia, MI
Nurse Anesthetist, Certified Registered in Livonia, Michigan, registered in NPPES in July 2007, part of St Mary Mercy Hospital. The authorized official on file is Michael Gusho, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063602092 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | St Mary Mercy Hospital |
| NPI issued | Jul 26, 2007 |
| Last updated in NPPES | Jan 6, 2025 |
| Certified by provider | Jan 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
| Anesthesiology | 207L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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