ASCENSION ST JOHN HOSPITAL (NPI# 1043478910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043478910 |
| Entity Type | Organization |
| Organization Name | ASCENSION ST JOHN HOSPITAL |
| Other Organization Name | ST JOHN NORTH SHORES HOSPITAL |
| Practice Address |
26755 Ballard St Harrison Township MI 48045-2419 |
| Mailing Address |
28000 Dequindre Rd Warren MI 48092-2468 |
| Practice Telephone | 5846555501 |
| Mailing Telephone | 5867530275 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2018-12-12 |
| Authorized Official Name | CHRISTOPHER J PALAZZOLO (VP FINANCE) |
| Authorized Official Telephone | 3133433558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 0E0110 | 01 |
| Other Name | Type Code |
|---|---|
| St John North Shores Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023088168 | Ascension St John Hospital | Clinic/Center | 22101 Moross, Detroit, MI 48236 | 2006-01-23 |
| 1114366333 | Ascension St John Hospital | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2013-06-20 |
| 1376820605 | Ascension St John Hospital | Internal Medicine | 1202 Walton Blvd, Suite 201, Rochester, MI 48307-6917 | 2011-11-15 |
| 1922397058 | Ascension St John Hospital | Internal Medicine | 22301 Foster Winter Dr, 2n Floor, Southfield, MI 48075-3707 | 2011-03-29 |
| 1457663197 | Ascension St John Hospital | Family Medicine | 2800 Livernois Rd, Suite 500, Troy, MI 48083-1215 | 2010-07-10 |
| 1023335544 | Ascension St John Hospital | Rehabilitation Unit | 22101 Moross Rd, Detroit, MI 48236-2148 | 2010-04-23 |
| 1285893727 | Ascension St John Hospital | Obstetrics & Gynecology | 22101 Moross Rd, Detroit, MI 48236-2148 | 2008-06-09 |
| 1396876256 | Ascension St John Hospital | Internal Medicine | 22101 Moross Rd, Detroit, MI 48236-2148 | 2007-03-09 |
| 1023149473 | Ascension St John Hospital | Clinic/Center | 22101 Moross Rd, Detroit, MI 48236-2148 | 2007-03-08 |
| 1598896995 | Ascension St John Hospital | Nurse Anesthetist, Certified Registered | 22101 Moross Rd, Suite 101, Detroit, MI 48236-2148 | 2007-03-08 |
| Street Address |
26755 BALLARD ST |
| City | HARRISON TOWNSHIP |
| State | MI |
| Zip Code | 48045-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245446541 | Beatrice A Erdos | Pharmacist | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2007-05-15 |
| 1558576504 | Mary Ellen Mclain | Pharmacist | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2007-05-13 |
| 1740312685 | St John Hospital and Medical Center | Nurse Anesthetist, Certified Registered | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2007-03-09 |
| 1295867133 | St. John North Shores Hospital | Clinic/Center | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2007-03-09 |
| 1598811614 | Jennifer Litzenberg | Specialist/Technologist | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2007-01-25 |
| 1255484382 | Leslie Ellen Mcgill-mayotte | Registered Nurse | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2007-01-20 |
| 1376613638 | St John North Shores Emergency Physicians, P. C. | Emergency Medicine | 26755 Ballard St, Emergency Department, Harrison Township, MI 48045-2419 | 2006-11-08 |
| 1245339290 | Carla Elyse Shock | Nurse Practitioner | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2006-09-22 |
| 1477669224 | Shirley Sayles | Pharmacist | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447602040 | Integrated Solution LLC | Social Worker | 24791 Parkside St., Apt. 206, Harrison Township, MI 48045 | 2016-07-07 |
| 1598908352 | Andrew Frank Langlois | Pharmacist | 28350 S.river Rd, Harrison Twp, MI 48045 | 2009-04-09 |
| 1629241559 | Brandon Charles Holda | Technician, Other | 43401 N. Jefferson Bldg #825, Selfridge Angb, MI 48045 | 2008-04-11 |
| 1902022601 | Detroit Uscg Phcy | Military/U.S. Coast Guard Pharmacy | 43355 North Jefferson, Uscg Clinic - Bldg 825, Detroit, MI 48045 | 2007-04-18 |
| 1477620755 | Uscg Clinic Sector Detroit | Clinic/Center | 43401 N. Jefferson, Bldg 825, Selfridge Angb, MI 48045 | 2006-11-29 |
| 1568561983 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 410 Mitchell, Selfridge Air Base, MI 48045 | 2006-09-22 |
| 1477661700 | Bridgeview Chiropractic Center | Chiropractor | 28326 S River Rd, Harrison Twp, MI 48045 | 2006-08-28 |
| 1851362586 | St. John Hospital and Medical Center | General Acute Care Hospital | 26755 Ballard Road, Harrison Township, MI 48045 | 2006-01-31 |
| 1013256296 | Mclaren Macomb | Emergency Medicine | 39833 Bridgeview St, Harrison Township, MI 48045 | 2013-02-07 |
| 1265467682 | Venkateswara Rao Malineni | Psychiatry & Neurology | 215 North Ave, St Joseph Specialty Hospital 215, Mt Clemens, MI 48045 | 2006-07-12 |
| Find all providers in zip 48045 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185227 | Richard S Klimecki Dpm | Podiatrist | 30205 Schoenherr Rd Ste A, Warren, MI 48088-6800 | 2020-08-17 |
| 1063037075 | Vikrant Wadehra | Podiatrist | 27629 Chatsworth St, Farmington Hills, MI 48334-1821 | 2020-06-15 |
| 1255963401 | Metrocare Visiting Physicians Pllc | Podiatrist | 5700 Crooks Rd Ste 108, Troy, MI 48098-2818 | 2020-02-06 |
| 1053887869 | Canton Podiatry Pllc | Podiatrist | 42017 Ford Rd, Canton, MI 48187-3669 | 2018-10-18 |
| 1760961577 | Premier Foot & Ankle II Pllc | Podiatrist | 5777 W Maple Rd Ste 170, West Bloomfield, MI 48322-4448 | 2018-08-13 |
| 1609379395 | Nomad Podiatry Pllc | Podiatrist | 28230 S Pointe Ln, New Baltimore, MI 48051-2347 | 2018-03-09 |
| 1861993685 | Steven J. Repitor | Podiatrist | 8244 Metro Pkwy # C, Sterling Heights, MI 48312-2778 | 2018-02-27 |
| 1588179584 | Sheryl Bentzley Dpm PC | Podiatrist | 967 Brooklawn Dr, Troy, MI 48084-2659 | 2017-12-12 |
| 1598287914 | Fadee Ramzi Kakos | Podiatrist | 15830 Fort St Ste 8, Southgate, MI 48195-1348 | 2017-07-07 |
| 1104347178 | Benjamin Hartger | Podiatrist | 600 Park Ave Ste 3, Grand Haven, MI 49417-2173 | 2017-06-29 |
| Find all providers with the same taxonomy | ||||
| City | HARRISON TOWNSHIP |
| Zip Code | 48045 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.