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 | 4 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 |
---|---|---|
Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
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 Macomb Oakland Hospital | 7315859725 | 118 |
Northstar Anesthesia Of Michigan Iii Pllc | 7911325469 | 510 |
Psj Anesthesia Pc | 8325342488 | 90 |
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 | 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 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 |