Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Reardon, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1124095617

Michael Reardon, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Royal Oak, Michigan. Qualified in 1999, 27 years ago. Practices with Eastside Group LLC, a 35-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
27
Licensed in
MI
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3601 W 13 Mile Rd 400 Fsc-Pcs
Royal Oak, MI 48073-6769
Phone: (248) 423-2481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704200718 (MI)

Record details

NPI number1124095617
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 2, 2006
Last updated in NPPESMay 27, 2008
Mailing address3601 W. 13 Mile Rd, 400 Fsc-Pcs, Royal Oak, MI 48073-6769

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Eastside Group Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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