| John Michael Faraj, CRNA | |
|
16001 W 9 Mile Rd, Southfield, MI 48075-4818 | |
| (248) 849-3000 | |
| Not Available |
| Full Name | John Michael Faraj |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 16001 W 9 Mile Rd, Southfield, Michigan |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629682935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704300354 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
| Beaumont Hospital - Wayne | Wayne, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Providence Hospital | 6103738703 | 290 |
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 522 |
| Psj Anesthesia Pc | 8325342488 | 72 |
| Entity Name | Ascension Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851339196 PECOS PAC ID: 6103738703 Enrollment ID: O20040610001584 |
| Entity Name | Psj Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275905796 PECOS PAC ID: 8325342488 Enrollment ID: O20160210000814 |
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
| Mailing Address | Practice Location Address |
|---|---|
| John Michael Faraj, CRNA 39221 Woodward Ave Unit 708, Bloomfield Hills, MI 48304-5169 Ph: (313) 850-3887 | John Michael Faraj, CRNA 16001 W 9 Mile Rd, Southfield, MI 48075-4818 Ph: (248) 849-3000 |
Ms. Camellia Denise Huges-allen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 25140 Lahser Rd, Suite 232, Southfield, MI 48033 Phone: 248-208-0553 Fax: 248-208-0558 | |
Emily Michelle Gray, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 19725 W 12 Mile Rd, Southfield, MI 48076 Phone: 248-678-5117 Fax: 248-658-8777 | |
Mark Kline, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 22170 W Nine Mile Rd, Southfield, MI 48033 Phone: 248-372-6800 | |
Cynthia Archer-gift, RN, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Dept Of Behavorial Medicine, Southfield, MI 48075 Phone: 248-849-3306 Fax: 248-849-3230 | |
Denise Kerr, RN,NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Cath Lab, Southfield, MI 48075 Phone: 248-849-3924 Fax: 248-849-2717 | |
Lisa L Forrester, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 22170 W 9 Mile Rd, Southfield, MI 48033 Phone: 248-372-6800 | |
Angela J Davis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 24225 W. 9 Mile Rd., Ste 140 #333, Southfield, MI 48033 Phone: 248-914-3639 |