Henry Ford Macomb Hospital Corporation
NPI 1528130739ActiveOrganization· Nurse Anesthetist, Certified Registered· Clinton Township, MI
Nurse Anesthetist, Certified Registered in Clinton Township, Michigan, registered in NPPES in November 2006, part of Henry Ford Macomb Hospital Corporation. The authorized official on file is Terry Goodbalian, Chief Financial Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528130739 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Henry Ford Macomb Hospital Corporation |
| NPI issued | Nov 14, 2006 |
| Last updated in NPPES | Dec 11, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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