OrganizationActive
Innovative Anesthesia Services PC
NPI 1275937625 · Medical Specialty Clinic/Center · Grand Rapids, MI
Provider details
- NPI number
- 1275937625
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carol Jugan, Owner(616) 780-7489
- License
- 4301091286 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
847 Parchment Dr Se Ste 105
Grand Rapids, MI 49546
Phone: (616) 516-4837
Street-level locationGet directions
Mailing address
847 Parchment Dr Se Ste 105
Grand Rapids, MI 49546-2377
Registry dates
- Enumerated
- 2014-10-14
- Last updated
- 2018-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.