Northern Anesthesia Providers PC
Northern Anesthesia Providers PC is a healthcare organization registered as Anesthesiology Physician in Petoskey, MI, holding Type 2 (organization) NPI 1396834628 since 2006. The authorized official on file is Mytch Vanderlooven, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396834628 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Northern Anesthesia Providers PC |
| Practice address | 602 JACKSON ST, Petoskey, MI, 49770 |
| Phone | 2313482795 |
| Fax | 2313482031 |
| Enumeration date | 2006-10-12 |
| Last updated in NPPES | 2025-07-11 |
Authorized official
| Name | Mytch Vanderlooven |
|---|---|
| Title | Office Manager |
| Phone | 2313482795 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207L00000X | Anesthesiology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B46025 | Other | — | BLUE CROSS BLUE SHIELD |
Copy-ready billing details
Provider: Northern Anesthesia Providers PC NPI: 1396834628 Taxonomy: 207L00000X (Anesthesiology Physician) Address: 602 JACKSON ST, Petoskey, MI, 49770
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1730280116 | Pamela Crawford | Individual | Certified Registered Nurse Anesthetist | Petoskey, MI |
| 1225139876 | Kenneth Cartwright | Individual | Anesthesiology Physician | Petoskey, MI |
| 1922109388 | Nancy Johnson | Individual | Certified Registered Nurse Anesthetist | Petoskey, MI |
| 1770684136 | Sandra Gibbs | Individual | Certified Registered Nurse Anesthetist | Petoskey, MI |
| 1164523650 | Richard Tefo | Individual | Anesthesiology Physician | Petoskey, MI |
| 1477640746 | Jonathon Johnson | Individual | Certified Registered Nurse Anesthetist | Petoskey, MI |
| 1003057126 | Heather Lesnik | Individual | Certified Registered Nurse Anesthetist | Petoskey, MI |
| 1659642213 | Mark Rothman | Individual | Certified Registered Nurse Anesthetist | Petoskey, MI |
Verify this record
Cross-check NPI 1396834628 against the authoritative CMS record: view Northern Anesthesia Providers PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Northern Anesthesia Providers PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-11.