Thomas Jakubczak

CRNA | Nurse Anesthetist | 35+ years Exp

3990 John R St, Detroit
  Michigan, 48201-2018
952-442-9770
May or may not accept Medicare Nurse Anesthetist in Detroit, Michigan.
Thomas Jakubczak is a Detroit, Michigan based nurse anesthetist with 35 years of experience as Anesthesia Administration. He completed he graduation in 1990. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Thomas Jakubczak is 4704144957 for Anesthesia Administration in Michigan. his current practice location is 3990 John R St, Detroit. Patients can reach him at 952-442-9770. Thomas Jakubczak is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1477561629.
Thomas Jakubczak 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:
Thomas Jakubczak 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: 35+ years
Medical School Attended:Other
Graduation Year:1990
Gender:Male
Accepts Medicare Assignment:May Accept
Practice Address:3990 John R St, Detroit,
Michigan, 48201-2018
Phone:952-442-9770
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: 2961682224
Enrollment ID: I20110203001088
NPI Number: 1477561629
NPI Enumeration Date: 04 Aug, 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 Thomas Jakubczak are as mentioned below.
License NumberSpecializationStateStatus
4704144957Anesthesia Administration MichiganPrimary
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, MIAcute Care Hospital
Harper University Hospital (230104)Detroit, MIAcute Care Hospital
Detroit Receiving Hospital (230273)Detroit, MIAcute 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 Thomas Jakubczak has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Northstar Anesthesia Of Michigan Iii Pllc (7911325469)505
Northstar Anesthesia Of Michigan Pllc (9638481591)170
Other Medical Identifiers:
Other legacy medical identifiers associated with Thomas Jakubczak such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
TJ144957OtherMichiganBLUE CROSS OF MI
104300794MedicaidMichigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Po Box 67000, Dept 203401
Detroit, Michigan
Zip: 48267-0002
Phone Number: 952-442-9770
Fax Number: 952-442-3630
Patients can reach Thomas Jakubczak at 3990 John R St, Detroit, Michigan or can call to book an appointment on 952-442-9770.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.