Kimberly Lodge is a Royal Oak, Michigan based nurse anesthetist with 32 years of experience as Anesthesia Administration. She completed she graduation in 1993. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Kimberly Lodge is 4704164364 for Anesthesia Administration in Michigan. Her current practice location is 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak. Patients can reach her at 248-423-3144. Kimberly Lodge is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1427026889. Kimberly Lodge is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Kimberly Lodge speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
32+ years
Medical School Attended:
Other
Graduation Year:
1993
Gender:
Female
Accepts Medicare Assignment:
May Accept
Practice Address:
3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, Michigan, 48073-6769
Phone:
248-423-3144
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8527028901
Enrollment ID:
I20041012000479
NPI Number:
1427026889
NPI Enumeration Date:
10 Mar, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kimberly Lodge are as mentioned below.
License Number
Specialization
State
Status
4704164364
Anesthesia Administration
Michigan
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Beaumont Hospital Royal Oak (230130)
Royal oak, MI
Acute Care Hospital
Beaumont Hospital - Grosse Pointe (230089)
Grosse pointe, MI
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kimberly Lodge has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Eastside Group Llc (4486790219)
25
Northstar Anesthesia Of Michigan Iii Pllc (7911325469)
505
Northwestern Services Llc (4486723657)
49
Superior Anesthetists Associates Inc (5890784987)
61
Other Medical Identifiers:
Other legacy medical identifiers associated with Kimberly Lodge such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
4304953
Medicaid
Michigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3601 W 13 Mile Rd, 400 Fsc - Pcs Royal Oak, Michigan
Zip:
48073-6769
Phone Number:
248-423-3144
Fax Number:
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Patients can reach Kimberly Lodge at 3601 W 13 Mile Rd, 400 Fsc - Pcs, Royal Oak, Michigan or can call to book an appointment on 248-423-3144.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.