| Jordan Alkhalidi, CRNA | |
|
6050 Kinmore St, Dearborn Heights, MI 48127-3211 | |
| (313) 828-2430 | |
| Not Available |
| Full Name | Jordan Alkhalidi |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 6050 Kinmore St, Dearborn Heights, Michigan |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295346625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704312353 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704312353 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Ascension Providence Hospital, Southfield And Novi | Southfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension St John Hospital | 3173424082 | 305 |
| Ascension Providence Hospital | 6103738703 | 290 |
| Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 522 |
| Entity Name | Ascension Macomb Oakland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396789434 PECOS PAC ID: 7315859725 Enrollment ID: O20031105000692 |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598896995 PECOS PAC ID: 3173424082 Enrollment ID: O20040130000407 |
| 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 | 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 | Ascension Macomb Oakland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871793505 PECOS PAC ID: 7315859725 Enrollment ID: O20080604000742 |
| 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 |
|---|---|
| Jordan Alkhalidi, CRNA 6174 Mayburn St, Dearborn Heights, MI 48127-3211 Ph: (313) 828-2430 | Jordan Alkhalidi, CRNA 6050 Kinmore St, Dearborn Heights, MI 48127-3211 Ph: (313) 828-2430 |
Diane Stoller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 707 Sandra Ct, Dearborn Heights, MI 48127 Phone: 313-274-5061 Fax: 248-357-0915 |