Thomas Shadaya
Thomas Shadaya is registered under Certified Registered Nurse Anesthetist (CRNA) in Detroit, Michigan. Qualified in 2022, 4 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 4
- Licensed in
- MI
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
259 Mack AveDetroit, MI 48201-2427
Phone: (313) 577-1716
Show map & directions
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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 4704272654 (MI) |
|---|---|
| Critical Care Medicine Registered Nurse | Taxonomy 163WC0200X · Licence 4704272654 (MI) |
Record details
| NPI number | 1265165120 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 7, 2022 |
| Last updated in NPPES | March 19, 2025 |
| Certification date | March 19, 2025 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Henry Ford Health Providence Hospital — 350 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 103 |
|---|---|
| Services billed | 104 |
| Average patient age | 74 |
Payments from drug and device companies, 2025
| Food and Beverage | $19 |
|---|
Practises at
- Ascension Providence Hospital, Southfield And Novi Hospital · Southfield, MI · listed as Ascension Providence Hospital
- Henry Ford Health St John Hospital Hospital · Detroit, MI
Colleagues at Henry Ford Health Providence Hospital
- Jordan Alkhalidi, CRNA Registered Nurse · Dearborn Heights, MI
- Michelle Fasi Certified Registered Nurse Anesthetist · Ypsilanti, MI
- Lauren H. Groskaufmanis, MD Family Medicine Physician · South Lyon, MI
- Timothy Joseph Hansen Physician Assistant · Novi, MI
- Mr. James-Gregory Holliday, CRNA Registered Nurse · Bay City, MI
- Arun Kapur, DO Internal Medicine Physician · Novi, MI
- Katie R Kwak, MD Internal Medicine Physician · Pontiac, MI
- Ken Hong Lam, NP Registered Nurse · Southfield, MI
- Dr. Madeleine Mae McMall, DO Family Medicine Physician · Farmington Hills, MI
- Michael L. Rosen, MD Internal Medicine Physician · Livonia, MI
- Bradley Rowens, MD Pulmonary Disease Physician · Novi, MI
- Meghan M Zorza, CRNA Certified Registered Nurse Anesthetist · Southfield, MI
Other providers in Detroit
-
Marlo Joselito Robles
4646 John R St, Detroit, MI 48201-1916 · (313) 576-1000
-
Patricia Roland
4646 John R St, Detroit, MI 48201-1916 · (313) 576-1000
-
John Paul Romanski, RN
4646 John R St, Detroit, MI 48201-1916 · (313) 576-3640
-
Amanda Segan
4646 John R St, Detroit, MI 48201-1916 · (313) 576-1000
-
Christopher C Smith, CRNA
6071 W Outer Dr, Detroit, MI 48235-2624 · (313) 966-3300
-
Jihan Tootla
3990 John R St, Detroit, MI 48201-2097 · (313) 745-8040
-
Avril Troope
4646 John R St, Detroit, MI 48201-1916 · (313) 576-1000
-
Patrick Joseph Troy, AGACNP-BC
22201 Moross Rd Ste 365, Detroit, MI 48236-2169 · (313) 343-4886