| James T Hiscock, CRNA | |
|
One Hurley Plaza, Flint, MI 48503-5993 | |
| (810) 262-9953 | |
| (810) 760-0440 |
| Full Name | James T Hiscock |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | One Hurley Plaza, Flint, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013973601 | NPI | - | NPPES |
| 104397550 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 4704208184 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704208184 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Northern Michigan | Petoskey, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Anesthesia Providers Pc | 4789579863 | 27 |
| Sleepsmith Staffing Llc | 8325320369 | 6 |
| Entity Name | Northern Anesthesia Providers Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396834628 PECOS PAC ID: 4789579863 Enrollment ID: O20040218000105 |
| Entity Name | Northstar Anesthesia Of Michigan Ii Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437268026 PECOS PAC ID: 7911895164 Enrollment ID: O20040309000625 |
| Entity Name | Helen Newberry Joy Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972650935 PECOS PAC ID: 5799671285 Enrollment ID: O20040317000546 |
| Entity Name | Jawad A Shah, Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942402391 PECOS PAC ID: 5799779633 Enrollment ID: O20040413000798 |
| Entity Name | Hurley Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558397653 PECOS PAC ID: 2961308481 Enrollment ID: O20040511000504 |
| Entity Name | Superior Anesthetists Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831144518 PECOS PAC ID: 5890784987 Enrollment ID: O20040512000785 |
| Entity Name | Helen Newberry Joy Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1497742050 PECOS PAC ID: 5799671285 Enrollment ID: O20100816001026 |
| Entity Name | The Digestive Endoscopy Center Of Michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477861045 PECOS PAC ID: 2769585819 Enrollment ID: O20110324000962 |
| Entity Name | Alliance Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063880052 PECOS PAC ID: 0143538769 Enrollment ID: O20151001001050 |
| Entity Name | Sleepsmith Staffing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114463379 PECOS PAC ID: 8325320369 Enrollment ID: O20170126001573 |
| Entity Name | Axon Anesthesia Consultants Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235643495 PECOS PAC ID: 7012276819 Enrollment ID: O20180124003392 |
| Entity Name | Fortson Dentistry Milford Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184394249 PECOS PAC ID: 6406398346 Enrollment ID: O20240607000242 |
| Entity Name | Fortson Family Dentistry Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215298468 PECOS PAC ID: 1951844067 Enrollment ID: O20240618000897 |
| Mailing Address | Practice Location Address |
|---|---|
| James T Hiscock, CRNA Po Box 78000, Dept. 78415, Detroit, MI 48278-0415 Ph: (810) 262-9953 | James T Hiscock, CRNA One Hurley Plaza, Flint, MI 48503-5993 Ph: (810) 262-9953 |