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Active NPI 1407829062 Individual Practitioner Male Practitioner

Paul J. Diffenderffer , CRNA

Nurse Anesthetist, Certified Registered • Flint, MI

Professional Overview & Biography Verified Profile Summary

Paul Diffenderffer, CRNA is a registered healthcare professional specializing in Nurse Anesthetist, Certified Registered in Flint, MI. Practice services are available at 401 S BALLENGER HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 S Ballenger Hwy
Attn Surgical Services

Flint, MI 485323638

Telephone 8403424917
Fax 8103421335
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Anesthetist, Certified Registered in Flint, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
99 Specialists

Practicing in Flint, MI (3395 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Anesthetist, Certified Registered Primary Specialty

NUCC Taxonomy Code: 367500000X

State License MI 4704112417

(1) A licensed 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. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1599758 (MI)
Commercial Insurance / Payer ID Blue Shield
PD112417 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Nicole Wesley , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003889841

Certified Registered Nurse Anesthetist

Brent Scott , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023082559

Certified Registered Nurse Anesthetist

Robin Zerka , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033186762

Certified Registered Nurse Anesthetist

Margaret Larobardiere , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043287923

Certified Registered Nurse Anesthetist

Robert Maloney , CRNA

Nurse Anesthetist, Certified Registered

NPI 1063485647

Certified Registered Nurse Anesthetist

Janie Tischler , CRNA

Nurse Anesthetist, Certified Registered

NPI 1083681969

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 401 S BALLENGER HWY, ATTN SURGICAL SERVICES, FLINT, MI 485323638 (Tel: 8403424917)

📍
Updated Business Mailing Address July 08, 2007

Registered at 401 S BALLENGER HWY, ATTN SURGICAL SERVICES, FLINT, MI 485323638 (Tel: 8403424917)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PAUL DIFFENDERFFER, CRNA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Anesthetist, Certified Registered (License #4704112417 in MI)

🟢
Initial NPI Registration & Enumeration February 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407829062
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

401 S Ballenger Hwy, Attn Surgical Services

Flint, MI 485323638

Phone: 8403424917

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.